VITAL LAB, LLC
NPI 1710588074
Clinical Medical Laboratory in Portsmouth, VA

Active since November 03, 2020CLIA 49D2199943 · Waiver
355 CRAWFORD ST STE 512, PORTSMOUTH, VA 23704(757) 971-1460(757) 594-1460 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2026, Jan 24, 2021, Nov 15, 2020 and 1 more (4 updates tracked since 2020).

About Vital Lab, Llc NPPES

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

VITAL LAB, LLC (NPI 1710588074) is a healthcare organization registered as a clinical medical laboratory in Portsmouth, Virginia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Laquanda Caldwell, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1710588074
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameVITAL LAB, LLC
Location Address355 CRAWFORD ST STE 512Portsmouth, VA 23704-2816
Mailing Address355 Crawford St Ste 512Portsmouth, VA 23704-2816 · (757) 971-1460 · Fax (757) 594-1460
Fax(757) 594-1460
Organization SubpartNo
Authorized OfficialLaquanda CaldwellLaboratory Director · (757) 971-1460
Enumeration DateNovember 3, 2020
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1710588074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedClinic/CenterTaxonomy 261Q00000X
355 CRAWFORD ST STE 512, Portsmouth, VA 23704

Other Identifiers 1

Other49D2199943VA · Clia

CLIA Laboratory Certificates CMS CLIA

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 49D2199943

Vital Lab · Portsmouth, VA
Active · expires Nov 11, 2026
CLIA Number49D2199943
Laboratory TypeMobile Laboratory
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorLaquanda Caldwell
Laboratory Phone(757) 971-1460
Laboratory LocationVital Lab355 Crawford St, Suite 512, Portsmouth, VA 23704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vital Lab, LLC's NPI number?

The NPI number for Vital Lab, LLC is 1710588074. It was assigned to this organization in the NPPES registry on November 3, 2020.

Where is Vital Lab, LLC located?

Vital Lab, LLC is located at 355 Crawford St Ste 512, Portsmouth, VA 23704. The listed phone number is (757) 971-1460.

What is Vital Lab, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Vital Lab, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2199943) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vital Lab, LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.