49D1001950 CLIA NUMBER - GOODWIN HOUSE ALEXANDRIA

Laboratory Demographics

  • CLIA Code: 49D1001950
  • Facility Name: GOODWIN HOUSE ALEXANDRIA
  • Facility Address: 4800 FILLMORE AVENUE ATTN CATHERINE FARMER
    ALEXANDRIA, VA
    ZIP 22311
  • Facility Phone: 703 824-1000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARITY A. AMPONG
  • NPI Number: 1588740617
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D1001950
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOODWIN HOUSE ALEXANDRIA
Street 4800 FILLMORE AVENUE ATTN CATHERINE FARMER
City ALEXANDRIA
State VA
ZIP 22311
Phone 703 824-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHARITY A. AMPONG

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