49D0978854 CLIA NUMBER - ENDOCRINE AND DIABETES CENTER PC

Laboratory Demographics

  • CLIA Code: 49D0978854
  • Facility Name: ENDOCRINE AND DIABETES CENTER PC
  • Facility Address: 301 MAPLE AVENUE W - SUTIE 120
    VIENNA, VA
    ZIP 22180
  • Facility Phone: 703 938-8885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI A. SAFA
  • NPI Number: 1154487007
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0978854
LAB Type Physician Office
Facility Name ENDOCRINE AND DIABETES CENTER PC
Street 301 MAPLE AVENUE W - SUTIE 120
City VIENNA
State VA
ZIP 22180
Phone 703 938-8885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director ALI A. SAFA

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