49D0222708 CLIA NUMBER - TESSA CHOLMONDELEY MD PC

Laboratory Demographics

  • CLIA Code: 49D0222708
  • Facility Name: TESSA CHOLMONDELEY MD PC
  • Facility Address: 1830 TOWN CENTER DRIVE SUITE 207
    RESTON, VA
    ZIP 20190
  • Facility Phone: (703) 435-2227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TESSA CHOLMONDELEY
  • NPI Number: 1124132873
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0222708
LAB Type Physician Office
Facility Name TESSA CHOLMONDELEY MD PC
Street 1830 TOWN CENTER DRIVE SUITE 207
City RESTON
State VA
ZIP 20190
Phone 7034352227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director TESSA CHOLMONDELEY

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