49D1022607 CLIA NUMBER - CLINICA FAMILIAR DE ARLINGTON

Laboratory Demographics

CLIA Number: 49D1022607

Facility Name: CLINICA FAMILIAR DE ARLINGTON

Facility Address:
1635 N GEORGE MASON DRIVE - SUITE 455
ARLINGTON, VA
ZIP 22205
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Facility Phone Number: 703 465-0137

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104008820

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D1022607
LAB Type	Physician Office
Facility Name	CLINICA FAMILIAR DE ARLINGTON
Street	1635 N GEORGE MASON DRIVE - SUITE 455
City	ARLINGTON
State	VA
ZIP	22205
Phone	703 465-0137
CertificateType	4
CertificateEffectiveDate	2/20/2024
CertificateExpirationDate	2/19/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024