49D1039997 CLIA NUMBER - VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP UROLOGY

Laboratory Demographics

  • CLIA Code: 49D1039997
  • Facility Name: VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP UROLOGY
  • Facility Address: 1851 NORTH GEORGE MASON DRIVE - SUITE 4A
    ARLINGTON, VA
    ZIP 22207
  • Facility Phone: 703 717-4203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT MORDKIN
  • NPI Number: 1326146887
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1039997
LAB Type Physician Office
Facility Name VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP UROLOGY
Street 1851 NORTH GEORGE MASON DRIVE - SUITE 4A
City ARLINGTON
State VA
ZIP 22207
Phone 703 717-4203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director ROBERT MORDKIN

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