49D1080933 CLIA NUMBER - SENTARA NEW TOWN COUMADIN CLINIC

Laboratory Demographics

  • CLIA Code: 49D1080933
  • Facility Name: SENTARA NEW TOWN COUMADIN CLINIC
  • Facility Address: 4374 NEW TOWN AVENUE - SUITE 104
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 984-6050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY FISHER
  • NPI Number: 1982364725
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 49D1080933
LAB Type Physician Office
Facility Name SENTARA NEW TOWN COUMADIN CLINIC
Street 4374 NEW TOWN AVENUE - SUITE 104
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 984-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director ANTHONY FISHER

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