49D2176220 CLIA NUMBER - CHESAPEAKE INTEGRATED BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 49D2176220
  • Facility Name: CHESAPEAKE INTEGRATED BEHAVIORAL HEALTH
  • Facility Address: 224 GREAT BRIDGE BLVD
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 547-9334
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ALFREDO J. SOTO
  • NPI Number: 1316083165
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2176220
LAB Type Community Clinic
Facility Name CHESAPEAKE INTEGRATED BEHAVIORAL HEALTH
Street 224 GREAT BRIDGE BLVD
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 547-9334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Community Clinic
Lab Director ALFREDO J. SOTO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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