49D1060652 CLIA NUMBER - WOODBURN ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 49D1060652
  • Facility Name: WOODBURN ENDOSCOPY CENTER
  • Facility Address: 3301 WOODBURN ROAD - SUITE 109
    ANNANDALE, VA
    ZIP 22003
  • Facility Phone: 703 336-3867
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINOD K. RUSTGI
  • NPI Number: 1477694396
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1060652
LAB Type Physician Office
Facility Name WOODBURN ENDOSCOPY CENTER
Street 3301 WOODBURN ROAD - SUITE 109
City ANNANDALE
State VA
ZIP 22003
Phone 703 336-3867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director VINOD K. RUSTGI

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This page was last updated on: 6/4/2025