49D2131595 CLIA NUMBER - VIRGINIA BEACH COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 49D2131595
  • Facility Name: VIRGINIA BEACH COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 1728 VIRGINIA BEACH BLVD - SUITE 113
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 437-0411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLORIA IVEY-CROWE
  • NPI Number: 1518118629
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2131595
LAB Type Physician Office
Facility Name VIRGINIA BEACH COMPREHENSIVE TREATMENT CENTER
Street 1728 VIRGINIA BEACH BLVD - SUITE 113
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 437-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director GLORIA IVEY-CROWE

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