49D2238906 CLIA NUMBER - MOORE HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 49D2238906
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MOORE HOUSE
Street 3608 KING STREET
City PORTSMOUTH
State VA
ZIP 23707
Phone 759 966-1922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director KAREN WILLIAMS

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