49D2058947 CLIA NUMBER - NEW TOWN DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 49D2058947
  • Facility Name: NEW TOWN DIAGNOSTIC CENTER
  • Facility Address: 4374 NEW TOWN AVENUE
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 259-8776
  • Facility Type: Other - RADIOLOGY/CT
  • Facility Type: Waiver
  • Lab Director: AUDREY E. STECK
  • NPI Number: 1508317199
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 49D2058947
LAB Type Other - RADIOLOGY/CT
Facility Name NEW TOWN DIAGNOSTIC CENTER
Street 4374 NEW TOWN AVENUE
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 259-8776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Other - RADIOLOGY/CT
Lab Director AUDREY E. STECK

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