49D0954172 CLIA NUMBER - NOVAMED ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D0954172
  • Facility Name: NOVAMED ASSOCIATES
  • Facility Address: 8316 ARLINGTON BOULEVARD -SUITE 310
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 641-0333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADFORD PONTZ
  • NPI Number: 1871562223
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0954172
LAB Type Physician Office
Facility Name NOVAMED ASSOCIATES
Street 8316 ARLINGTON BOULEVARD -SUITE 310
City FAIRFAX
State VA
ZIP 22031
Phone 703 641-0333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director BRADFORD PONTZ

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