49D2130816 CLIA NUMBER - SENTARA ORNISH LIFESTYLE MEDICINE AT PRINCESS ANNE HOSPITAL

Laboratory Demographics

  • CLIA Code: 49D2130816
  • Facility Name: SENTARA ORNISH LIFESTYLE MEDICINE AT PRINCESS ANNE HOSPITAL
  • Facility Address: 2075 GLEN MITCHELL DRIVE - SUITE 406
    VIRGINIA BEACH, VA
    ZIP 23456
  • Facility Phone: 757 388-1761
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ROBERT T. PU

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CLIA Record

Field Name Field Value
CLIA Number 49D2130816
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SENTARA ORNISH LIFESTYLE MEDICINE AT PRINCESS ANNE HOSPITAL
Street 2075 GLEN MITCHELL DRIVE - SUITE 406
City VIRGINIA BEACH
State VA
ZIP 23456
Phone 757 388-1761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2023
Certificate Expiration Date 5/16/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ROBERT T. PU

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This page was last updated on: 3/20/2025