49D0968766 CLIA NUMBER - 1811 JAMESTOWN ROAD OPCO LLC

Laboratory Demographics

  • CLIA Code: 49D0968766
  • Facility Name: 1811 JAMESTOWN ROAD OPCO LLC
  • Facility Address: 1811 JAMESTOWN ROAD
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 229-9991
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SEBASTIAN W. ADAMS
  • NPI Number: 1922022128
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0968766
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 1811 JAMESTOWN ROAD OPCO LLC
Street 1811 JAMESTOWN ROAD
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 229-9991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SEBASTIAN W. ADAMS

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