49D1096366 CLIA NUMBER - NORTHERN VIRGINIA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 49D1096366
  • Facility Name: NORTHERN VIRGINIA SURGERY CENTER
  • Facility Address: 3620 JOSEPH SIEWICK DRIVE - SUITE 202
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 766-6960
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHEREE L. LOPEZ
  • NPI Number: 1356734412
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 49D1096366
LAB Type Ambulatory Surgery Center
Facility Name NORTHERN VIRGINIA SURGERY CENTER
Street 3620 JOSEPH SIEWICK DRIVE - SUITE 202
City FAIRFAX
State VA
ZIP 22033
Phone 703 766-6960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Ambulatory Surgery Center
Lab Director SHEREE L. LOPEZ

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