49D2012056 CLIA NUMBER - SENTARA NEUROLOGY SPECIALISTS - PRINCESS ANNE

Laboratory Demographics

  • CLIA Code: 49D2012056
  • Facility Name: SENTARA NEUROLOGY SPECIALISTS - PRINCESS ANNE
  • Facility Address: 1950 GLENN MITCHELL DRIVE - SUITE 200
    VIRGINIA BEACH, VA
    ZIP 23456
  • Facility Phone: 757 507-0642
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL COHEN
  • NPI Number: 1174822563
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 49D2012056
LAB Type Physician Office
Facility Name SENTARA NEUROLOGY SPECIALISTS - PRINCESS ANNE
Street 1950 GLENN MITCHELL DRIVE - SUITE 200
City VIRGINIA BEACH
State VA
ZIP 23456
Phone 757 507-0642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director DANIEL COHEN

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