49D0228781 CLIA NUMBER - SENTARA PEDIATRIC PHYSICIANS - CAMELOT

Laboratory Demographics

  • CLIA Code: 49D0228781
  • Facility Name: SENTARA PEDIATRIC PHYSICIANS - CAMELOT
  • Facility Address: 1800 CAMELOT DRIVE - SUTIE 200
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 252-9600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEREMY SIEGRIST
  • NPI Number: 1396950853
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0228781
LAB Type Physician Office
Facility Name SENTARA PEDIATRIC PHYSICIANS - CAMELOT
Street 1800 CAMELOT DRIVE - SUTIE 200
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 252-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director JEREMY SIEGRIST

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