49D0222574 CLIA NUMBER - GASTROINTESTINAL SPECIALIST LLC DBA THE UROLOGY GROUP

Laboratory Demographics

  • CLIA Code: 49D0222574
  • Facility Name: GASTROINTESTINAL SPECIALIST LLC DBA THE UROLOGY GROUP
  • Facility Address: 1860 TOWN CENTER DRIVE - SUITE 150
    RESTON, VA
    ZIP 20190
  • Facility Phone: (703) 480-0220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KINNARI R. KENNEDY
  • NPI Number: 1063516672
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0222574
LAB Type Physician Office
Facility Name GASTROINTESTINAL SPECIALIST LLC DBA THE UROLOGY GROUP
Street 1860 TOWN CENTER DRIVE - SUITE 150
City RESTON
State VA
ZIP 20190
Phone 7034800220
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director KINNARI R. KENNEDY

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This page was last updated on: 5/18/2026