49D2195790 CLIA NUMBER - COMMONWEALTH SENIOR LIVING AT CHURCHLAND HOUSE

Laboratory Demographics

CLIA Code: 49D2195790
Facility Name: COMMONWEALTH SENIOR LIVING AT CHURCHLAND HOUSE
Facility Address: 4916 W NORFOLK RD
PORTSMOUTH, VA
ZIP 23703
Facility Phone: 757 483-1780
Facility Type: Assisted Living Facility
Facility Type: Waiver
Lab Director: MICHELLE HAMILTON
NPI Number: 1003382789
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	49D2195790
LAB Type	Assisted Living Facility
Facility Name	COMMONWEALTH SENIOR LIVING AT CHURCHLAND HOUSE
Street	4916 W NORFOLK RD
City	PORTSMOUTH
State	VA
ZIP	23703
Phone	757 483-1780
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/13/2024
Certificate Expiration Date	10/12/2026
Facility Type	Assisted Living Facility
Lab Director	MICHELLE HAMILTON

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