49D1058779 CLIA NUMBER - DIGESTIVE DISEASE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 49D1058779
  • Facility Name: DIGESTIVE DISEASE PHYSICIANS
  • Facility Address: 4660 KENMORE AVENUE - SUITE 100
    ALEXANDRIA, VA
    ZIP 22304
  • Facility Phone: (703) 751-5763
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ENRICO A. GIANGERUSO
  • NPI Number: 1407510498
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1058779
LAB Type Physician Office
Facility Name DIGESTIVE DISEASE PHYSICIANS
Street 4660 KENMORE AVENUE - SUITE 100
City ALEXANDRIA
State VA
ZIP 22304
Phone 7037515763
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/6/2026
Certificate Expiration Date 4/5/2028
Facility Type Physician Office
Lab Director DR. ENRICO A. GIANGERUSO

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