49D2137334 CLIA NUMBER - SENTARA URGENT CARE - GLOUCESTER

Laboratory Demographics

  • CLIA Code: 49D2137334
  • Facility Name: SENTARA URGENT CARE - GLOUCESTER
  • Facility Address: 5659 PARKWAY DRIVE SUITE 100
    GLOUCESTER, VA
    ZIP 23061
  • Facility Phone: 804 381-4361
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JON R. GRAY
  • NPI Number: 1033625710
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2137334
LAB Type Other - URGENT CARE
Facility Name SENTARA URGENT CARE - GLOUCESTER
Street 5659 PARKWAY DRIVE SUITE 100
City GLOUCESTER
State VA
ZIP 23061
Phone 804 381-4361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Other - URGENT CARE
Lab Director JON R. GRAY

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