49D1026859 CLIA NUMBER - CONCENTRA CHESAPEAKE-OLD GEORGE WASHINGTON

Laboratory Demographics

  • CLIA Code: 49D1026859
  • Facility Name: CONCENTRA CHESAPEAKE-OLD GEORGE WASHINGTON
  • Facility Address: 838 OLD GEORGE WASHINGTON HIGHWAY - SUITE A
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 487-9600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBRA M. RICCIARDI
  • NPI Number: 1154342160
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1026859
LAB Type Physician Office
Facility Name CONCENTRA CHESAPEAKE-OLD GEORGE WASHINGTON
Street 838 OLD GEORGE WASHINGTON HIGHWAY - SUITE A
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 487-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Physician Office
Lab Director DEBRA M. RICCIARDI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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