49D2300579 CLIA NUMBER - SENTARA URGENT CARE-CENTERVILLE

Laboratory Demographics

  • CLIA Code: 49D2300579
  • Facility Name: SENTARA URGENT CARE-CENTERVILLE
  • Facility Address: 1944 CENTERVILLE TURNPIKE, SUITE 100
    VIRGINIA BEACH, VA
    ZIP 23464
  • Facility Phone: 757 772-6134
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JON R. GRAY
  • NPI Number: 1992279327
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2300579
LAB Type Other - URGENT CARE
Facility Name SENTARA URGENT CARE-CENTERVILLE
Street 1944 CENTERVILLE TURNPIKE, SUITE 100
City VIRGINIA BEACH
State VA
ZIP 23464
Phone 757 772-6134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Other - URGENT CARE
Lab Director JON R. GRAY

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