49D2025115 CLIA NUMBER - BEACH KIDS PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 49D2025115
  • Facility Name: BEACH KIDS PEDIATRICS, PLLC
  • Facility Address: 1004 FIRST COLONIAL ROAD - SUITE 103
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 806-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRYAN MCDONALD
  • NPI Number: 1255634648
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2025115
LAB Type Physician Office
Facility Name BEACH KIDS PEDIATRICS, PLLC
Street 1004 FIRST COLONIAL ROAD - SUITE 103
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 806-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director BRYAN MCDONALD

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