49D0230584 CLIA NUMBER - PORTSMOUTH HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 49D0230584
  • Facility Name: PORTSMOUTH HEALTH DEPARTMENT
  • Facility Address: 1701 HIGH STREET SUITE 102
    PORTSMOUTH, VA
    ZIP 23704
  • Facility Phone: 757 393-8585
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: KAVITA IMRIT-THOMAS
  • NPI Number: 1295044774
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0230584
LAB Type Other
Facility Name PORTSMOUTH HEALTH DEPARTMENT
Street 1701 HIGH STREET SUITE 102
City PORTSMOUTH
State VA
ZIP 23704
Phone 757 393-8585
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 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other
Lab Director KAVITA IMRIT-THOMAS

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