49D0880493 CLIA NUMBER - INOVA MEDICAL GROUP - OAKTON

Laboratory Demographics

  • CLIA Code: 49D0880493
  • Facility Name: INOVA MEDICAL GROUP - OAKTON
  • Facility Address: 10455 WHITE GRANITE DR, SUITE 100
    OAKTON, VA
    ZIP 22124
  • Facility Phone: 703 938-0363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMON R. BLANCO
  • NPI Number: 1538523089
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D0880493
LAB Type Physician Office
Facility Name INOVA MEDICAL GROUP - OAKTON
Street 10455 WHITE GRANITE DR, SUITE 100
City OAKTON
State VA
ZIP 22124
Phone 703 938-0363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director RAMON R. BLANCO

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