49D0980543 CLIA NUMBER - LISA C RAINEY MD PC

Laboratory Demographics

  • CLIA Code: 49D0980543
  • Facility Name: LISA C RAINEY MD PC
  • Facility Address: 205 SOUTH WHITING STREET, SUITE 200
    ALEXANDRIA, VA
    ZIP 22304
  • Facility Phone: 703 823-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA C. RAINEY MD PC
  • NPI Number: 1174544399
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0980543
LAB Type Physician Office
Facility Name LISA C RAINEY MD PC
Street 205 SOUTH WHITING STREET, SUITE 200
City ALEXANDRIA
State VA
ZIP 22304
Phone 703 823-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director LISA C. RAINEY MD PC

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