49D2086237 CLIA NUMBER - CHESAPEAKE HOSPITAL AUTHORITY GRASSFIELD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D2086237
  • Facility Name: CHESAPEAKE HOSPITAL AUTHORITY GRASSFIELD PRIMARY CARE
  • Facility Address: 648 GRASSFIELD PKWY, SUITE1
    CHESAPEAKE, VA
    ZIP 23322
  • Facility Phone: 757 312-6797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARE M. MUNDY
  • NPI Number: 1619909173
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2086237
LAB Type Physician Office
Facility Name CHESAPEAKE HOSPITAL AUTHORITY GRASSFIELD PRIMARY CARE
Street 648 GRASSFIELD PKWY, SUITE1
City CHESAPEAKE
State VA
ZIP 23322
Phone 757 312-6797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director CLARE M. MUNDY

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