49D2194385 CLIA NUMBER - INTEGRAL HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 49D2194385
  • Facility Name: INTEGRAL HEALTH & WELLNESS
  • Facility Address: 533 NEWTOWN ROAD SUITE 115
    VIRGINIA BEACH, VA
    ZIP 23462
  • Facility Phone: 757 204-1901
  • Facility Type: Other - INDEPENDENT CLINIC
  • Facility Type: Waiver
  • Lab Director: NAKESHIA L. MOUZON
  • NPI Number: 1386268142
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D2194385
LAB Type Other - INDEPENDENT CLINIC
Facility Name INTEGRAL HEALTH & WELLNESS
Street 533 NEWTOWN ROAD SUITE 115
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 757 204-1901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other - INDEPENDENT CLINIC
Lab Director NAKESHIA L. MOUZON

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