49D1069898 CLIA NUMBER - HEALTH & PREVENTIVE SERVICES-WILLIAMSBURG SENTARA HEALTHCARE/OPTIMA HEALTH

Laboratory Demographics

  • CLIA Code: 49D1069898
  • Facility Name: HEALTH & PREVENTIVE SERVICES-WILLIAMSBURG SENTARA HEALTHCARE/OPTIMA HEALTH
  • Facility Address: 400 SENTARA CIRCLE, STE 410 ANNEX A
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 827-2416
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: TERRINA THOMAS
  • NPI Number: 1720609837
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1069898
LAB Type Health Main. Organization
Facility Name HEALTH & PREVENTIVE SERVICES-WILLIAMSBURG SENTARA HEALTHCARE/OPTIMA HEALTH
Street 400 SENTARA CIRCLE, STE 410 ANNEX A
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 827-2416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Health Main. Organization
Lab Director TERRINA THOMAS

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