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

Laboratory Demographics

  • CLIA Code: 49D2261001
  • Facility Name: SENTARA COMMUNITY CARE CENTER MOBILE BUS HAMPTON ROADS
  • Facility Address: 701 S MAIN STREET
    NORFOLK, VA
    ZIP 23523
  • Facility Phone: 757 388-1830
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MICHAEL CHARLES
  • NPI Number: 1083336150
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Mobile Laboratory
Lab Director MICHAEL CHARLES

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