49D0228743 CLIA NUMBER - SENTARA FAMILY MEDICINE PHYSICIANS CHIMNEY HILL

Laboratory Demographics

  • CLIA Code: 49D0228743
  • Facility Name: SENTARA FAMILY MEDICINE PHYSICIANS CHIMNEY HILL
  • Facility Address: 3745 HOLLAND ROAD - SUITE 200
    VIRGINIA BEACH, VA
    ZIP 23452
  • Facility Phone: 757 395-1700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN E. VANDENGOFF
  • NPI Number: 1245357920
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0228743
LAB Type Physician Office
Facility Name SENTARA FAMILY MEDICINE PHYSICIANS CHIMNEY HILL
Street 3745 HOLLAND ROAD - SUITE 200
City VIRGINIA BEACH
State VA
ZIP 23452
Phone 757 395-1700
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 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director STEPHEN E. VANDENGOFF

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