49D0228502 CLIA NUMBER - SENTARA FAMILY MEDICINE PHYSICIANS ST LUKES

Laboratory Demographics

  • CLIA Code: 49D0228502
  • Facility Name: SENTARA FAMILY MEDICINE PHYSICIANS ST LUKES
  • Facility Address: 20209 SENTARA WAY
    CARROLLTON, VA
    ZIP 23314
  • Facility Phone: 757 542-2000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS K. WEITZMAN
  • NPI Number: 1689792095
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0228502
LAB Type Physician Office
Facility Name SENTARA FAMILY MEDICINE PHYSICIANS ST LUKES
Street 20209 SENTARA WAY
City CARROLLTON
State VA
ZIP 23314
Phone 757 542-2000
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 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director DOUGLAS K. WEITZMAN

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