49D0862599 CLIA NUMBER - SENTARA FAMILY MEDICINE PHYSICIANS - NIMMO

Laboratory Demographics

  • CLIA Code: 49D0862599
  • Facility Name: SENTARA FAMILY MEDICINE PHYSICIANS - NIMMO
  • Facility Address: 1380 TUSCANY DRIVE
    VIRGINIA BEACH, VA
    ZIP 23456
  • Facility Phone: 757 252-9800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: COLETTE W. LO
  • NPI Number: 1861510273
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0862599
LAB Type Physician Office
Facility Name SENTARA FAMILY MEDICINE PHYSICIANS - NIMMO
Street 1380 TUSCANY DRIVE
City VIRGINIA BEACH
State VA
ZIP 23456
Phone 757 252-9800
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 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director COLETTE W. LO

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