49D1050014 CLIA NUMBER - ALEXANDRIA CBOC

Laboratory Demographics

  • CLIA Code: 49D1050014
  • Facility Name: ALEXANDRIA CBOC
  • Facility Address: 8796D SACRAMENTO DRIVE
    ALEXANDRIA, VA
    ZIP 22309
  • Facility Phone: (703) 360-1442
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JACK LICHY
  • NPI Number: 1003257726
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D1050014
LAB Type Community Clinic
Facility Name ALEXANDRIA CBOC
Street 8796D SACRAMENTO DRIVE
City ALEXANDRIA
State VA
ZIP 22309
Phone 7033601442
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 1/24/2006
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JACK LICHY

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This page was last updated on: 5/18/2026