49D1067411 CLIA NUMBER - MICHELLE L FUSELIER, MD

Laboratory Demographics

  • CLIA Code: 49D1067411
  • Facility Name: MICHELLE L FUSELIER, MD
  • Facility Address: 6305 CASTLE PLACE - SUITE 1D
    FALLS CHURCH, VA
    ZIP 22044
  • Facility Phone: 703 533-5555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. FUSELIER, MD
  • NPI Number: 1891872016
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1067411
LAB Type Physician Office
Facility Name MICHELLE L FUSELIER, MD
Street 6305 CASTLE PLACE - SUITE 1D
City FALLS CHURCH
State VA
ZIP 22044
Phone 703 533-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director MICHELLE L. FUSELIER, MD

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