49D2233127 CLIA NUMBER - MARYVIEW MEDICAL CENTER DEPARTMENT OF RADIATION ONCOLOGY AT HBV

Laboratory Demographics

  • CLIA Code: 49D2233127
  • Facility Name: MARYVIEW MEDICAL CENTER DEPARTMENT OF RADIATION ONCOLOGY AT HBV
  • Facility Address: 7185 HARBOUR TOWNE PARKWAY SUITE 108 ATTN CRYSTAL BRANCH
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: 757 541-1400
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MICHELE A. NEDELKA
  • NPI Number: 1811442619
  • Taxonomy: 261QX0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2233127
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MARYVIEW MEDICAL CENTER DEPARTMENT OF RADIATION ONCOLOGY AT HBV
Street 7185 HARBOUR TOWNE PARKWAY SUITE 108 ATTN CRYSTAL BRANCH
City SUFFOLK
State VA
ZIP 23435
Phone 757 541-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MICHELE A. NEDELKA

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