49D1035595 CLIA NUMBER - ELITE WOMENS CARE

Laboratory Demographics

  • CLIA Code: 49D1035595
  • Facility Name: ELITE WOMENS CARE
  • Facility Address: 5280 HENNEMAN DRIVE
    NORFOLK, VA
    ZIP 23513
  • Facility Phone: 757 548-2800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEISHA L. BURFOOT, MD
  • NPI Number: 1134377179
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D1035595
LAB Type Physician Office
Facility Name ELITE WOMENS CARE
Street 5280 HENNEMAN DRIVE
City NORFOLK
State VA
ZIP 23513
Phone 757 548-2800
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 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director KEISHA L. BURFOOT, MD

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