49D2242944 CLIA NUMBER - UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA

Laboratory Demographics

  • CLIA Code: 49D2242944
  • Facility Name: UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA
  • Facility Address: 1860 TOWN CENTER DR, SUITE 225
    RESTON, VA
    ZIP 20190
  • Facility Phone: 703 293-5239
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA CANTER
  • NPI Number: 1801562384
  • Taxonomy: 2088F0040X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 49D2242944
LAB Type Physician Office
Facility Name UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA
Street 1860 TOWN CENTER DR, SUITE 225
City RESTON
State VA
ZIP 20190
Phone 703 293-5239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director MARIA CANTER

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This page was last updated on: 3/20/2025