49D1089706 CLIA NUMBER - MRI & CT DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 49D1089706
  • Facility Name: MRI & CT DIAGNOSTICS
  • Facility Address: 1554 RIVER BURCH RUN NORTH
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 671-1144
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JEREMY CAMDEN
  • NPI Number: 1194176149
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D1089706
LAB Type Other
Facility Name MRI & CT DIAGNOSTICS
Street 1554 RIVER BURCH RUN NORTH
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 671-1144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Other
Lab Director JEREMY CAMDEN

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This page was last updated on: 9/29/2025