49D0678543 CLIA NUMBER - JOHN J BASILE MD PC

Laboratory Demographics

  • CLIA Code: 49D0678543
  • Facility Name: JOHN J BASILE MD PC
  • Facility Address: 3020 HAMAKER COURT SUITE B 111
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 876-0288
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN J. BASILE
  • NPI Number: 1548235732
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 49D0678543
LAB Type Physician Office
Facility Name JOHN J BASILE MD PC
Street 3020 HAMAKER COURT SUITE B 111
City FAIRFAX
State VA
ZIP 22031
Phone 703 876-0288
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN J. BASILE

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