49D1002592 CLIA NUMBER - HEALTH & PREVENTIVE SERVICES SENTARA HEALTHCARE/SENTARA HEALTCARE PLANS

Laboratory Demographics

  • CLIA Code: 49D1002592
  • Facility Name: HEALTH & PREVENTIVE SERVICES SENTARA HEALTHCARE/SENTARA HEALTCARE PLANS
  • Facility Address: 1330 SENTARA PARK
    VIRGINIA BEACH, VA
    ZIP 23464
  • Facility Phone: 757 455-7223
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TERRINA J. THOMAS
  • NPI Number: 1720215585
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D1002592
LAB Type Home Health Agency
Facility Name HEALTH & PREVENTIVE SERVICES SENTARA HEALTHCARE/SENTARA HEALTCARE PLANS
Street 1330 SENTARA PARK
City VIRGINIA BEACH
State VA
ZIP 23464
Phone 757 455-7223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Home Health Agency
Lab Director TERRINA J. THOMAS

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