49D0230420 CLIA NUMBER - SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS COLISEUM

Laboratory Demographics

  • CLIA Code: 49D0230420
  • Facility Name: SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS COLISEUM
  • Facility Address: 4001 COLISEUM DRIVE - SUITE 300
    HAMPTON, VA
    ZIP 23666
  • Facility Phone: 757 827-2025
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT H. HUNTER
  • NPI Number: 1225155914
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0230420
LAB Type Physician Office
Facility Name SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS COLISEUM
Street 4001 COLISEUM DRIVE - SUITE 300
City HAMPTON
State VA
ZIP 23666
Phone 757 827-2025
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 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director ROBERT H. HUNTER

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