49D2006721 CLIA NUMBER - NORTH SUFFOLK FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2006721
  • Facility Name: NORTH SUFFOLK FAMILY MEDICINE
  • Facility Address: 3235 BRIDGE ROAD - SUITE 15
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: 757 606-1656
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LYNNE STOCKMAN
  • NPI Number: 1386378057
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D2006721
LAB Type Physician Office
Facility Name NORTH SUFFOLK FAMILY MEDICINE
Street 3235 BRIDGE ROAD - SUITE 15
City SUFFOLK
State VA
ZIP 23435
Phone 757 606-1656
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director LYNNE STOCKMAN

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