49D2063454 CLIA NUMBER - SENTARA INTERNAL MEDICINE PHYSICIANS 1925 GLEN MITCHELL

Laboratory Demographics

  • CLIA Code: 49D2063454
  • Facility Name: SENTARA INTERNAL MEDICINE PHYSICIANS 1925 GLEN MITCHELL
  • Facility Address: 1925 GLENN MITCHELL DRIVE - SUITE 202
    VIRGINIA BEACH, VA
    ZIP 23456
  • Facility Phone: 757 507-0900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD M. CURULLA
  • NPI Number: 1669813507
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2063454
LAB Type Physician Office
Facility Name SENTARA INTERNAL MEDICINE PHYSICIANS 1925 GLEN MITCHELL
Street 1925 GLENN MITCHELL DRIVE - SUITE 202
City VIRGINIA BEACH
State VA
ZIP 23456
Phone 757 507-0900
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 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director RICHARD M. CURULLA

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