49D1013459 CLIA NUMBER - GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA LTD, PATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 49D1013459
  • Facility Name: GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA LTD, PATHOLOGY LABORATORY
  • Facility Address: 8709 PROFESSIONAL PLACE
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 703 365-2517
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JEROME T. O'CONNELL
  • NPI Number: 1518990472
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D1013459
LAB Type Physician Office
Facility Name GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA LTD, PATHOLOGY LABORATORY
Street 8709 PROFESSIONAL PLACE
City MANASSAS
State VA
ZIP 20110
Phone 703 365-2517
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/31/2023
Certificate Expiration Date 7/30/2025
Facility Type Physician Office
Lab Director DR. JEROME T. O'CONNELL

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This page was last updated on: 3/20/2025