49D0720827 CLIA NUMBER - INOVA HEALTH CARE SERVICES INOVA UROLOGY

Laboratory Demographics

  • CLIA Code: 49D0720827
  • Facility Name: INOVA HEALTH CARE SERVICES INOVA UROLOGY
  • Facility Address: 3650 JOSEPH SIEWICK DRIVE - SUITE 305
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 698-1856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT HART
  • NPI Number: 1982140687
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D0720827
LAB Type Physician Office
Facility Name INOVA HEALTH CARE SERVICES INOVA UROLOGY
Street 3650 JOSEPH SIEWICK DRIVE - SUITE 305
City FAIRFAX
State VA
ZIP 22033
Phone 703 698-1856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT HART

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