49D1046613 CLIA NUMBER - INOVA HEALTH CARE SERVICES

Laboratory Demographics

  • CLIA Code: 49D1046613
  • Facility Name: INOVA HEALTH CARE SERVICES
  • Facility Address: 8260 WILLOW OAKS CORPORATE DRIVE, SUITE 350
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 571 472-0920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT A. SULLIVAN
  • NPI Number: 1578634267
  • Taxonomy: 332BN1400X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 49D1046613
LAB Type Physician Office
Facility Name INOVA HEALTH CARE SERVICES
Street 8260 WILLOW OAKS CORPORATE DRIVE, SUITE 350
City FAIRFAX
State VA
ZIP 22031
Phone 571 472-0920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director SCOTT A. SULLIVAN

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