49D0226558 CLIA NUMBER - SENTARA PEDIATRIC PHYSICIANS - WPASM NEW TOWN

Laboratory Demographics

  • CLIA Code: 49D0226558
  • Facility Name: SENTARA PEDIATRIC PHYSICIANS - WPASM NEW TOWN
  • Facility Address: 4374 NEW TOWN AVENUE - SUTIE 202
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 984-6040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAN VIA
  • NPI Number: 1720106149
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0226558
LAB Type Physician Office
Facility Name SENTARA PEDIATRIC PHYSICIANS - WPASM NEW TOWN
Street 4374 NEW TOWN AVENUE - SUTIE 202
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 984-6040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director DAN VIA

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