49D0914433 CLIA NUMBER - JAY C TYROLER, MD

Laboratory Demographics

  • CLIA Code: 49D0914433
  • Facility Name: JAY C TYROLER, MD
  • Facility Address: 3650 JOSEPH SIEWICK DRIVE SUITE 204
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 264-0521
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY C. TYROLER
  • NPI Number: 1962544700
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0914433
LAB Type Physician Office
Facility Name JAY C TYROLER, MD
Street 3650 JOSEPH SIEWICK DRIVE SUITE 204
City FAIRFAX
State VA
ZIP 22033
Phone 703 264-0521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director JAY C. TYROLER

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