49D2021361 CLIA NUMBER - ALLERGY AND ASTHMA SPECIALIST, LTD

Laboratory Demographics

  • CLIA Code: 49D2021361
  • Facility Name: ALLERGY AND ASTHMA SPECIALIST, LTD
  • Facility Address: 1704 SIR WILLIAM OSLER DRIVE
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 481-4383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY B. MOSS
  • NPI Number: 1326022880
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2021361
LAB Type Physician Office
Facility Name ALLERGY AND ASTHMA SPECIALIST, LTD
Street 1704 SIR WILLIAM OSLER DRIVE
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 481-4383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director GARY B. MOSS

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