49D1022039 CLIA NUMBER - RESTON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 49D1022039
  • Facility Name: RESTON SURGERY CENTER
  • Facility Address: 1860 TOWN CENTER DRIVE
    RESTON, VA
    ZIP 20190
  • Facility Phone: 703 393-3101
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: QUAN NGUYEN
  • NPI Number: 1659335438
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1022039
LAB Type Ambulatory Surgery Center
Facility Name RESTON SURGERY CENTER
Street 1860 TOWN CENTER DRIVE
City RESTON
State VA
ZIP 20190
Phone 703 393-3101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Ambulatory Surgery Center
Lab Director QUAN NGUYEN

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