49D0226596 CLIA NUMBER - SENTARA FAMILY MEDICINE PHYSICIANS - NEW TOWN

Laboratory Demographics

  • CLIA Code: 49D0226596
  • Facility Name: SENTARA FAMILY MEDICINE PHYSICIANS - NEW TOWN
  • Facility Address: 4374 NEW TOWN AVENUE, SUITE 200
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 984-6067
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER G. BOQUIST
  • NPI Number: 1770601189
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0226596
LAB Type Physician Office
Facility Name SENTARA FAMILY MEDICINE PHYSICIANS - NEW TOWN
Street 4374 NEW TOWN AVENUE, SUITE 200
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 984-6067
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CHRISTOPHER G. BOQUIST

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