49D2309480 CLIA NUMBER - PRETTY LITTLE NURSE LLC

Laboratory Demographics

  • CLIA Code: 49D2309480
  • Facility Name: PRETTY LITTLE NURSE LLC
  • Facility Address: 707 GITTINGS ST, SUITE 100B
    SUFFOLK, VA
    ZIP 23434
  • Facility Phone: 757 895-1449
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QEUNNA SMITH
  • NPI Number: 1932943081
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 49D2309480
LAB Type Physician Office
Facility Name PRETTY LITTLE NURSE LLC
Street 707 GITTINGS ST, SUITE 100B
City SUFFOLK
State VA
ZIP 23434
Phone 757 895-1449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director QEUNNA SMITH

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