49D0721872 CLIA NUMBER - PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE,THE

Laboratory Demographics

  • CLIA Code: 49D0721872
  • Facility Name: PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE,THE
  • Facility Address: 4660 KENMORE AVE SUITE 902
    ALEXANDRIA, VA
    ZIP 22304
  • Facility Phone: 703 370-4300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARY E. CUTTING
  • NPI Number: 1558371518
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 49D0721872
LAB Type Physician Office
Facility Name PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE,THE
Street 4660 KENMORE AVE SUITE 902
City ALEXANDRIA
State VA
ZIP 22304
Phone 703 370-4300
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 MARY E. CUTTING

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