49D2261001 CLIA NUMBER - SENTARA COMMUNITY CARE CENTER MOBILE BUS HAMPTON ROADS

Laboratory Demographics

CLIA Number: 49D2261001

Facility Name: SENTARA COMMUNITY CARE CENTER MOBILE BUS HAMPTON ROADS

Facility Address:
701 S MAIN STREET
NORFOLK, VA
ZIP 23523
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Facility Phone Number: 757 388-1830

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1083336150

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 49D2261001
LAB Type Mobile Laboratory
Facility Name SENTARA COMMUNITY CARE CENTER MOBILE BUS HAMPTON ROADS
Street 701 S MAIN STREET
City NORFOLK
State VA
ZIP 23523
Phone 757 388-1830
CertificateType 4
CertificateEffectiveDate 5/25/2022
CertificateExpirationDate 5/24/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024