49D2239658 CLIA NUMBER - SOBRIETY & SUBOXONE HOLISTIC SERVICES

Laboratory Demographics

  • CLIA Code: 49D2239658
  • Facility Name: SOBRIETY & SUBOXONE HOLISTIC SERVICES
  • Facility Address: 3412 COLUMBIA STREET
    PORTSMOUTH, VA
    ZIP 23707
  • Facility Phone: 757 606-1213
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ARNELLA EDWARDS
  • NPI Number: 1508455627
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2239658
LAB Type Practitioner Other
Facility Name SOBRIETY & SUBOXONE HOLISTIC SERVICES
Street 3412 COLUMBIA STREET
City PORTSMOUTH
State VA
ZIP 23707
Phone 757 606-1213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Practitioner Other
Lab Director ARNELLA EDWARDS

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