49D1080657 CLIA NUMBER - SENTARA OBICI AMBULATORY SURGERY, LLC

Laboratory Demographics

  • CLIA Code: 49D1080657
  • Facility Name: SENTARA OBICI AMBULATORY SURGERY, LLC
  • Facility Address: 2750 GODWIN BOULEVARD
    SUFFOLK, VA
    ZIP 23434
  • Facility Phone: 757 983-2012
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGORY M. WEISS
  • NPI Number: 1194287417
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 49D1080657
LAB Type Ambulatory Surgery Center
Facility Name SENTARA OBICI AMBULATORY SURGERY, LLC
Street 2750 GODWIN BOULEVARD
City SUFFOLK
State VA
ZIP 23434
Phone 757 983-2012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Ambulatory Surgery Center
Lab Director GREGORY M. WEISS

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