49D1098745 CLIA NUMBER - CHILDREN'S MEDICAL GROUP, INC DBA NANESMOND PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D1098745
  • Facility Name: CHILDREN'S MEDICAL GROUP, INC DBA NANESMOND PEDIATRICS
  • Facility Address: 1005 COMMERCIAL LANE - SUITE 220 RT 10 GODWIN BUILDING
    SUFFOLK, VA
    ZIP 23434
  • Facility Phone: 757 668-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHRYN F. BROOKS
  • NPI Number: 1790830487
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1098745
LAB Type Physician Office
Facility Name CHILDREN'S MEDICAL GROUP, INC DBA NANESMOND PEDIATRICS
Street 1005 COMMERCIAL LANE - SUITE 220 RT 10 GODWIN BUILDING
City SUFFOLK
State VA
ZIP 23434
Phone 757 668-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director KATHRYN F. BROOKS

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