49D0937595 CLIA NUMBER - MALGORZATA GRADZKA MD

Laboratory Demographics

  • CLIA Code: 49D0937595
  • Facility Name: MALGORZATA GRADZKA MD
  • Facility Address: 3620 JOSEPH SIEWICK DRIVE - SUITE 401
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 648-9800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MALGORZATA I. GRADZKA
  • NPI Number: 1376724062
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0937595
LAB Type Physician Office
Facility Name MALGORZATA GRADZKA MD
Street 3620 JOSEPH SIEWICK DRIVE - SUITE 401
City FAIRFAX
State VA
ZIP 22033
Phone 703 648-9800
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 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director MALGORZATA I. GRADZKA

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