OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES
NPI 1508902743
Clinic/Center - Student Health in Norfolk, VA

Active since January 29, 2007CLIA 49D2111779 · Waiver
1007 S WEBB CTR, NORFOLK, VA 23529(757) 683-3132 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Old Dominion University Student Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES (NPI 1508902743) is a healthcare organization registered as a student health in Norfolk, Virginia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Robert Frey Dunker, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1508902743
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameOLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES
Location Address1007 S WEBB CTRNorfolk, VA 23529-0001
Mailing Address1007 S Webb CtrNorfolk, VA 23529-0001 · (757) 683-3132
Organization SubpartNo
Authorized OfficialRobert Frey DunkerMedical Director · (757) 683-3132
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1508902743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1007 S WEBB CTR, Norfolk, VA 23529

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2111779

Old Dominion University · Norfolk, VA
Active · expires Apr 13, 2028
CLIA Number49D2111779
Laboratory TypeSchool/Student Health Service
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorLeryn J. Reynolds
Laboratory Phone(757) 683-3133
Laboratory LocationOld Dominion University4700 Powhatan Avenue Student Recreation Center, Room 1006, Norfolk, VA 23529
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 49D0674919

Old Dominion University Student Health Services · Norfolk, VA
Expired · Jul 31, 2026
CLIA Number49D0674919
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorMaria Vandermeid
Laboratory Phone(757) 683-3132
Laboratory LocationOld Dominion University Student Health Services4700 Powhatan Avenue, Suite 1402 1st Floor, Norfolk, VA 23529
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1007 S WEBB CTR
NORFOLK, VA 23529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Dominion University Student Health Services's NPI number?

The NPI number for Old Dominion University Student Health Services is 1508902743. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Old Dominion University Student Health Services located?

Old Dominion University Student Health Services is located at 1007 S Webb Ctr, Norfolk, VA 23529. The listed phone number is (757) 683-3132.

What is Old Dominion University Student Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Old Dominion University Student Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2111779) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Old Dominion University Student Health Services was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.