49D2247795 CLIA NUMBER - HAMPTON ROADS WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 49D2247795
  • Facility Name: HAMPTON ROADS WELLNESS CENTER
  • Facility Address: 1328 E PEMBROKE AVE
    HAMPTON, VA
    ZIP 23669
  • Facility Phone: 757 904-3319
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WINTER L. MELVIN
  • NPI Number: 1164017752
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 49D2247795
LAB Type Practitioner Other
Facility Name HAMPTON ROADS WELLNESS CENTER
Street 1328 E PEMBROKE AVE
City HAMPTON
State VA
ZIP 23669
Phone 757 904-3319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Practitioner Other
Lab Director WINTER L. MELVIN

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