49D2054786 CLIA NUMBER - SOUTHSIDE EYE CARE

Laboratory Demographics

  • CLIA Code: 49D2054786
  • Facility Name: SOUTHSIDE EYE CARE
  • Facility Address: 3206 CHURCHLAND ROAD
    CHESAPEAKE, VA
    ZIP 23321
  • Facility Phone: (757) 484-0101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL KEVERLINE
  • NPI Number: 1992794325
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2054786
LAB Type Physician Office
Facility Name SOUTHSIDE EYE CARE
Street 3206 CHURCHLAND ROAD
City CHESAPEAKE
State VA
ZIP 23321
Phone 7574840101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director MICHAEL KEVERLINE

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This page was last updated on: 5/18/2026