49D0230148 CLIA NUMBER - SENTARA INTERNAL MEDICINE PHYSICIANS PORT WARWICK

Laboratory Demographics

  • CLIA Code: 49D0230148
  • Facility Name: SENTARA INTERNAL MEDICINE PHYSICIANS PORT WARWICK
  • Facility Address: 11803 JEFFERSON AVENUE - SUITE 140
    NEWPORT NEWS, VA
    ZIP 23606
  • Facility Phone: 757 594-1803
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FATIMAH SARKI
  • NPI Number: 1851418461
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0230148
LAB Type Physician Office
Facility Name SENTARA INTERNAL MEDICINE PHYSICIANS PORT WARWICK
Street 11803 JEFFERSON AVENUE - SUITE 140
City NEWPORT NEWS
State VA
ZIP 23606
Phone 757 594-1803
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 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director FATIMAH SARKI

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