49D0936951 CLIA NUMBER - CHESAPEAKE HOSPITAL AUTHORITY SOUTH NORFOLK PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D0936951
  • Facility Name: CHESAPEAKE HOSPITAL AUTHORITY SOUTH NORFOLK PRIMARY CARE
  • Facility Address: 710 LIBERTY STREET
    CHESAPEAKE, VA
    ZIP 23324
  • Facility Phone: 757 543-6861
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHARMESH K. SHAH
  • NPI Number: 1609938505
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0936951
LAB Type Physician Office
Facility Name CHESAPEAKE HOSPITAL AUTHORITY SOUTH NORFOLK PRIMARY CARE
Street 710 LIBERTY STREET
City CHESAPEAKE
State VA
ZIP 23324
Phone 757 543-6861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director DHARMESH K. SHAH

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