49D0859339 CLIA NUMBER - DIABETES AND ENDOCRINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D0859339
  • Facility Name: DIABETES AND ENDOCRINE ASSOCIATES
  • Facility Address: 6300 STEVENSON AVENUE - SUITE D
    ALEXANDRIA, VA
    ZIP 22304
  • Facility Phone: 703 823-9570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT W. COO, MD
  • NPI Number: 1265593388
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0859339
LAB Type Physician Office
Facility Name DIABETES AND ENDOCRINE ASSOCIATES
Street 6300 STEVENSON AVENUE - SUITE D
City ALEXANDRIA
State VA
ZIP 22304
Phone 703 823-9570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director ALBERT W. COO, MD

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