49D2126336 CLIA NUMBER - SENTARA FAMILY MEDICINE AND PEDIATRICS - EDINBURGH

Laboratory Demographics

  • CLIA Code: 49D2126336
  • Facility Name: SENTARA FAMILY MEDICINE AND PEDIATRICS - EDINBURGH
  • Facility Address: 1933 EDWIN DRIVE - SUITE 208
    CHESAPEAKE, VA
    ZIP 23322
  • Facility Phone: 757 252-5820
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN HARTLINE
  • NPI Number: 1386185692
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2126336
LAB Type Physician Office
Facility Name SENTARA FAMILY MEDICINE AND PEDIATRICS - EDINBURGH
Street 1933 EDWIN DRIVE - SUITE 208
City CHESAPEAKE
State VA
ZIP 23322
Phone 757 252-5820
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 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director STEVEN HARTLINE

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