49D0859629 CLIA NUMBER - ELIZABETH LAKES FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 49D0859629
  • Facility Name: ELIZABETH LAKES FAMILY HEALTH CENTER
  • Facility Address: 191 FOX HILL RD
    HAMPTON, VA
    ZIP 23669
  • Facility Phone: 757 850-1311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY P. LARKIN
  • NPI Number: 1629656111
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0859629
LAB Type Physician Office
Facility Name ELIZABETH LAKES FAMILY HEALTH CENTER
Street 191 FOX HILL RD
City HAMPTON
State VA
ZIP 23669
Phone 757 850-1311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director TIMOTHY P. LARKIN

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