49D1000548 CLIA NUMBER - LIFEWAY FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 49D1000548
  • Facility Name: LIFEWAY FAMILY PHYSICIANS
  • Facility Address: 1821 OLD DONATATION PARKWAY - SUITE 4
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 481-3770
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURA R. HEIBY
  • NPI Number: 1972672731
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1000548
LAB Type Physician Office
Facility Name LIFEWAY FAMILY PHYSICIANS
Street 1821 OLD DONATATION PARKWAY - SUITE 4
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 481-3770
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 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director LAURA R. HEIBY

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