49D2193370 CLIA NUMBER - MYDOCTOR DIRECT PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 49D2193370
  • Facility Name: MYDOCTOR DIRECT PRIMARY CARE, PLLC
  • Facility Address: 2712 VIRGINIA BEACH BLVD
    VIRGINIA BEACH, VA
    ZIP 23452
  • Facility Phone: 757 971-0651
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALICE E. ORDONEZ

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CLIA Record

Field Name Field Value
CLIA Number 49D2193370
LAB Type Physician Office
Facility Name MYDOCTOR DIRECT PRIMARY CARE, PLLC
Street 2712 VIRGINIA BEACH BLVD
City VIRGINIA BEACH
State VA
ZIP 23452
Phone 757 971-0651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director ALICE E. ORDONEZ

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This page was last updated on: 6/4/2025