49D2315403 CLIA NUMBER - CHESAPEAKE HOSPITAL AUTHORITY - OBSTETRICS & GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 49D2315403
  • Facility Name: CHESAPEAKE HOSPITAL AUTHORITY - OBSTETRICS & GYNECOLOGY
  • Facility Address: 710 LIBERTY STREET
    CHESAPEAKE, VA
    ZIP 23324
  • Facility Phone: 757 842-4620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED A. WILLIAMS
  • NPI Number: 1043381759
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 49D2315403
LAB Type Physician Office
Facility Name CHESAPEAKE HOSPITAL AUTHORITY - OBSTETRICS & GYNECOLOGY
Street 710 LIBERTY STREET
City CHESAPEAKE
State VA
ZIP 23324
Phone 757 842-4620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director FRED A. WILLIAMS

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