49D0670199 CLIA NUMBER - SENTARA FAMILY MEDICINE PHYSICIANS PROVIDENCE ROAD

Laboratory Demographics

  • CLIA Code: 49D0670199
  • Facility Name: SENTARA FAMILY MEDICINE PHYSICIANS PROVIDENCE ROAD
  • Facility Address: 5320 PROVIDENCE RD, SUITE 100 & 101
    VIRGINIA BEACH, VA
    ZIP 23464
  • Facility Phone: (757) 413-7600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRANCIS JAVIER
  • NPI Number: 1700903325
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0670199
LAB Type Physician Office
Facility Name SENTARA FAMILY MEDICINE PHYSICIANS PROVIDENCE ROAD
Street 5320 PROVIDENCE RD, SUITE 100 & 101
City VIRGINIA BEACH
State VA
ZIP 23464
Phone 7574137600
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 1/28/2026
Certificate Expiration Date 1/27/2028
Facility Type Physician Office
Lab Director FRANCIS JAVIER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026