49D2112869 CLIA NUMBER - ODYSSEY HEALTHCARE OPERATING B, LP DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 49D2112869
  • Facility Name: ODYSSEY HEALTHCARE OPERATING B, LP DBA GENTIVA
  • Facility Address: 5544 GREENWICH ROAD STE 302
    VIRGINIA BEACH, VA
    ZIP 23462
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1346241981
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2112869
LAB Type Hospice
Facility Name ODYSSEY HEALTHCARE OPERATING B, LP DBA GENTIVA
Street 5544 GREENWICH ROAD STE 302
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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