49D2132850 CLIA NUMBER - SENTARA HOME CARE SERVICES - SUFFOLK

Laboratory Demographics

CLIA Number: 49D2132850

Facility Name: SENTARA HOME CARE SERVICES - SUFFOLK

Facility Address:
154 BURNETTS WAY - SUITE 102
SUFFOLK, VA
ZIP 23434
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Facility Phone Number: 757 553-3027

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1659474799

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	49D2132850
LAB Type	Home Health Agency
Facility Name	SENTARA HOME CARE SERVICES - SUFFOLK
Street	154 BURNETTS WAY - SUITE 102
City	SUFFOLK
State	VA
ZIP	23434
Phone	757 553-3027
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024