49D2034126 CLIA NUMBER - PENINSULA KIDNEY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D2034126
  • Facility Name: PENINSULA KIDNEY ASSOCIATES
  • Facility Address: 716 DENBIGH BOULEVARD - SUITE A5
    NEWPORT NEWS, VA
    ZIP 23608
  • Facility Phone: 757 251-7469
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOANNE SIU
  • NPI Number: 1750436531
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2034126
LAB Type Physician Office
Facility Name PENINSULA KIDNEY ASSOCIATES
Street 716 DENBIGH BOULEVARD - SUITE A5
City NEWPORT NEWS
State VA
ZIP 23608
Phone 757 251-7469
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 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director JOANNE SIU

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