49D0681866 CLIA NUMBER - SENTARA FAMILY MEDICINE PHYSICIANS - OLD HAMPTON

Laboratory Demographics

  • CLIA Code: 49D0681866
  • Facility Name: SENTARA FAMILY MEDICINE PHYSICIANS - OLD HAMPTON
  • Facility Address: 200 EATON STREET
    HAMPTON, VA
    ZIP 23669
  • Facility Phone: 757 726-5035
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TODD A. WEISMAN
  • NPI Number: 1326165929
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0681866
LAB Type Physician Office
Facility Name SENTARA FAMILY MEDICINE PHYSICIANS - OLD HAMPTON
Street 200 EATON STREET
City HAMPTON
State VA
ZIP 23669
Phone 757 726-5035
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director TODD A. WEISMAN

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