49D0229433 CLIA NUMBER - 3900 LLEWELLYN AVENUE OPCO LLC

Laboratory Demographics

  • CLIA Code: 49D0229433
  • Facility Name: 3900 LLEWELLYN AVENUE OPCO LLC
  • Facility Address: 3900 LLEWELLYN AVE
    NORFOLK, VA
    ZIP 23504
  • Facility Phone: 757 625-5363
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. KINTYHTT
  • NPI Number: 1285658849
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0229433
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 3900 LLEWELLYN AVENUE OPCO LLC
Street 3900 LLEWELLYN AVE
City NORFOLK
State VA
ZIP 23504
Phone 757 625-5363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER A. KINTYHTT

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