49D0917700 CLIA NUMBER - MITCHELL, WHITTAKER & WU

Laboratory Demographics

  • CLIA Code: 49D0917700
  • Facility Name: MITCHELL, WHITTAKER & WU
  • Facility Address: 4660 KENMORE AVENUE SUITE 900
    ALEXANDRIA, VA
    ZIP 22304
  • Facility Phone: 703 461-0700
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. WAYNE WU
  • NPI Number: 1174759278
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0917700
LAB Type Physician Office
Facility Name MITCHELL, WHITTAKER & WU
Street 4660 KENMORE AVENUE SUITE 900
City ALEXANDRIA
State VA
ZIP 22304
Phone 703 461-0700
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director DR. WAYNE WU

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