49D1093075 CLIA NUMBER - FORT NORFOLK DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 49D1093075
  • Facility Name: FORT NORFOLK DIAGNOSTIC CENTER
  • Facility Address: 301 RIVERVIEW AVENUE - SUITE 830
    NORFOLK, VA
    ZIP 23510
  • Facility Phone: 757 252-9100
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOHN D. O'NEIL
  • NPI Number: 1982642781
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 49D1093075
LAB Type Other
Facility Name FORT NORFOLK DIAGNOSTIC CENTER
Street 301 RIVERVIEW AVENUE - SUITE 830
City NORFOLK
State VA
ZIP 23510
Phone 757 252-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Other
Lab Director JOHN D. O'NEIL

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