49D2308820 CLIA NUMBER - COASTAL VIRGINIA PEDIATRICS (COVA)

Laboratory Demographics

  • CLIA Code: 49D2308820
  • Facility Name: COASTAL VIRGINIA PEDIATRICS (COVA)
  • Facility Address: 301 GOODE WAY, SUITE 203
    PORTSMOUTH, VA
    ZIP 23704
  • Facility Phone: 757 399-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OGUBUIKE EMEJURU
  • NPI Number: 1245917079
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2308820
LAB Type Physician Office
Facility Name COASTAL VIRGINIA PEDIATRICS (COVA)
Street 301 GOODE WAY, SUITE 203
City PORTSMOUTH
State VA
ZIP 23704
Phone 757 399-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director OGUBUIKE EMEJURU

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