09D2278275 CLIA NUMBER - CCRM NORTHERN VIRGINIA

Laboratory Demographics

  • CLIA Code: 09D2278275
  • Facility Name: CCRM NORTHERN VIRGINIA
  • Facility Address: 2120 L STREET NW, SUITE 701
    WASHINGTON, DC
    ZIP 20037
  • Facility Phone: 571 789-2100
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CHELSEY A. LEISINGER
  • NPI Number: 1770117095
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 09D2278275
LAB Type Physician Office
Facility Name CCRM NORTHERN VIRGINIA
Street 2120 L STREET NW, SUITE 701
City WASHINGTON
State DC
ZIP 20037
Phone 571 789-2100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. CHELSEY A. LEISINGER

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