49D2302239 CLIA NUMBER - HAMPTON ROADS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D2302239
  • Facility Name: HAMPTON ROADS PRIMARY CARE
  • Facility Address: 301 GOODE WAY, SUITE 206
    PORTSMOUTH, VA
    ZIP 23704
  • Facility Phone: 757 642-0240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL A. BROWN
  • NPI Number: 1306627112
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2302239
LAB Type Physician Office
Facility Name HAMPTON ROADS PRIMARY CARE
Street 301 GOODE WAY, SUITE 206
City PORTSMOUTH
State VA
ZIP 23704
Phone 757 642-0240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director SAMUEL A. BROWN

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