34D2300653 CLIA NUMBER - SENTARA URGENT CARE- ELIZABETH CITY

Laboratory Demographics

  • CLIA Code: 34D2300653
  • Facility Name: SENTARA URGENT CARE- ELIZABETH CITY
  • Facility Address: 3815 CONLON WAY
    ELIZABETH CITY, NC
    ZIP 27909
  • Facility Phone: 757 772-8134
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JON R. GRAY
  • NPI Number: 1053158543
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2300653
LAB Type Other - URGENT CARE
Facility Name SENTARA URGENT CARE- ELIZABETH CITY
Street 3815 CONLON WAY
City ELIZABETH CITY
State NC
ZIP 27909
Phone 757 772-8134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Other - URGENT CARE
Lab Director JON R. GRAY

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