49D0228353 CLIA NUMBER - BON SECOURS WESTERN BRANCH PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D0228353
  • Facility Name: BON SECOURS WESTERN BRANCH PRIMARY CARE
  • Facility Address: 2613 TAYLOR RD - SUITE 201
    CHESAPEAKE, VA
    ZIP 23321
  • Facility Phone: (757) 673-5673
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALISON C. SKINNER
  • NPI Number: 1699705699
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0228353
LAB Type Physician Office
Facility Name BON SECOURS WESTERN BRANCH PRIMARY CARE
Street 2613 TAYLOR RD - SUITE 201
City CHESAPEAKE
State VA
ZIP 23321
Phone 7576735673
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 ALISON C. SKINNER

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This page was last updated on: 5/18/2026