49D2165180 CLIA NUMBER - MARINA SHORES OB/GYN

Laboratory Demographics

  • CLIA Code: 49D2165180
  • Facility Name: MARINA SHORES OB/GYN
  • Facility Address: 2865 LYNNHAVEN DR SUITE A4
    VIRGINIA BEACH, VA
    ZIP 23451
  • Facility Phone: 757 496-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANI M. WARREN
  • NPI Number: 1417492034
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 49D2165180
LAB Type Physician Office
Facility Name MARINA SHORES OB/GYN
Street 2865 LYNNHAVEN DR SUITE A4
City VIRGINIA BEACH
State VA
ZIP 23451
Phone 757 496-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director LANI M. WARREN

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