49D2260778 CLIA NUMBER - ORTHOVIRGINIA INC VIRGINIA BEACH

Laboratory Demographics

  • CLIA Code: 49D2260778
  • Facility Name: ORTHOVIRGINIA INC VIRGINIA BEACH
  • Facility Address: 1717 WILL-O-WISP DR
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 804 939-6664
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT CAMPBELL
  • NPI Number: 1992864763
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D2260778
LAB Type Physician Office
Facility Name ORTHOVIRGINIA INC VIRGINIA BEACH
Street 1717 WILL-O-WISP DR
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 804 939-6664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director ROBERT CAMPBELL

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