49D0947209 CLIA NUMBER - SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS -KINGSMILL

Laboratory Demographics

  • CLIA Code: 49D0947209
  • Facility Name: SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS -KINGSMILL
  • Facility Address: 432 MCLAWS CIRCLE SUITE 100A
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 984-9650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY J. ESCALERA
  • NPI Number: 1184639064
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0947209
LAB Type Physician Office
Facility Name SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS -KINGSMILL
Street 432 MCLAWS CIRCLE SUITE 100A
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 984-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director KIMBERLY J. ESCALERA

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