49D0228400 CLIA NUMBER - BSMH EMPLOYER SERVICES LLC-BON SECOURS OCCUPATIONAL HEATH-CHESAPEAKE

Laboratory Demographics

  • CLIA Code: 49D0228400
  • Facility Name: BSMH EMPLOYER SERVICES LLC-BON SECOURS OCCUPATIONAL HEATH-CHESAPEAKE
  • Facility Address: 2613 TAYLOR ROAD, SUITE 101
    CHESAPEAKE, VA
    ZIP 23321
  • Facility Phone: 757 465-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH L. CHARLOT
  • NPI Number: 1154624211
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0228400
LAB Type Physician Office
Facility Name BSMH EMPLOYER SERVICES LLC-BON SECOURS OCCUPATIONAL HEATH-CHESAPEAKE
Street 2613 TAYLOR ROAD, SUITE 101
City CHESAPEAKE
State VA
ZIP 23321
Phone 757 465-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director JOSEPH L. CHARLOT

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