49D1009133 CLIA NUMBER - ALEXANDRIA HEALTHCARE CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 49D1009133
  • Facility Name: ALEXANDRIA HEALTHCARE CENTER, PLLC
  • Facility Address: 5249 DUKE STREET - SUITE 100
    ALEXANDRIA, VA
    ZIP 22301
  • Facility Phone: 703 212-2456
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: AMBRISH K. GUPTA
  • NPI Number: 1831722313
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 49D1009133
LAB Type Community Clinic
Facility Name ALEXANDRIA HEALTHCARE CENTER, PLLC
Street 5249 DUKE STREET - SUITE 100
City ALEXANDRIA
State VA
ZIP 22301
Phone 703 212-2456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Community Clinic
Lab Director AMBRISH K. GUPTA

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