49D2196954 CLIA NUMBER - SOUTHEASTERN VIRGINIA TRAINING CENTER

Laboratory Demographics

  • CLIA Code: 49D2196954
  • Facility Name: SOUTHEASTERN VIRGINIA TRAINING CENTER
  • Facility Address: 2100 STEPPINGSTONE SQUARE
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 424-8379
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: HEATHER FISHER
  • NPI Number: 1093934861
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 49D2196954
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SOUTHEASTERN VIRGINIA TRAINING CENTER
Street 2100 STEPPINGSTONE SQUARE
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 424-8379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director HEATHER FISHER

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