49D2103289 CLIA NUMBER - FIRST COLONIAL INN INDEPENDENT AND ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 49D2103289
  • Facility Name: FIRST COLONIAL INN INDEPENDENT AND ASSISTED LIVING
  • Facility Address: 845 FIRST COLONIAL ROAD
    VIRGINIA BEACH, VA
    ZIP 23451
  • Facility Phone: 757 428-2884
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RENEE HICKMAN
  • NPI Number: 1144304916
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 49D2103289
LAB Type Assisted Living Facility
Facility Name FIRST COLONIAL INN INDEPENDENT AND ASSISTED LIVING
Street 845 FIRST COLONIAL ROAD
City VIRGINIA BEACH
State VA
ZIP 23451
Phone 757 428-2884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Assisted Living Facility
Lab Director RENEE HICKMAN

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