49D2206762 CLIA NUMBER - SHAPING YOUR FUTURE PSYCHIATRY LLC TRISHA PARKER

Laboratory Demographics

  • CLIA Code: 49D2206762
  • Facility Name: SHAPING YOUR FUTURE PSYCHIATRY LLC TRISHA PARKER
  • Facility Address: 1534 BATEAU LANDING
    CHESAPEAKE, VA
    ZIP 23321
  • Facility Phone: 757 528-2850
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TRISHA N. PARKER
  • NPI Number: 1679185573
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2206762
LAB Type Mobile Laboratory
Facility Name SHAPING YOUR FUTURE PSYCHIATRY LLC TRISHA PARKER
Street 1534 BATEAU LANDING
City CHESAPEAKE
State VA
ZIP 23321
Phone 757 528-2850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Mobile Laboratory
Lab Director TRISHA N. PARKER

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This page was last updated on: 3/20/2025