49D2280798 CLIA NUMBER - PRIMECARE MEDICAL

Laboratory Demographics

  • CLIA Code: 49D2280798
  • Facility Name: PRIMECARE MEDICAL
  • Facility Address: 301 GOODE WAY
    PORTSMOUTH, VA
    ZIP 23704
  • Facility Phone: 757 655-0935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CURTIS BEARD
  • NPI Number: 1124269238
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2280798
LAB Type Physician Office
Facility Name PRIMECARE MEDICAL
Street 301 GOODE WAY
City PORTSMOUTH
State VA
ZIP 23704
Phone 757 655-0935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director CURTIS BEARD

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