49D2068567 CLIA NUMBER - NORTH SHORE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D2068567
  • Facility Name: NORTH SHORE PEDIATRICS
  • Facility Address: 1700 PLEASURE HOUSE ROAD - SUITE 105
    VIRGINIA BEACH, VA
    ZIP 23455
  • Facility Phone: 757 440-0719
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH TOLAND
  • NPI Number: 1093713976
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2068567
LAB Type Physician Office
Facility Name NORTH SHORE PEDIATRICS
Street 1700 PLEASURE HOUSE ROAD - SUITE 105
City VIRGINIA BEACH
State VA
ZIP 23455
Phone 757 440-0719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director JOSEPH TOLAND

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