49D1098222 CLIA NUMBER - VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP PRIMARY CARE MCLEAN

Laboratory Demographics

  • CLIA Code: 49D1098222
  • Facility Name: VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP PRIMARY CARE MCLEAN
  • Facility Address: 6862 ELM STREET - SUITE 500
    MCLEAN, VA
    ZIP 22101
  • Facility Phone: 703 558-6653
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. GARRETT
  • NPI Number: 1548353501
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 49D1098222
LAB Type Physician Office
Facility Name VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP PRIMARY CARE MCLEAN
Street 6862 ELM STREET - SUITE 500
City MCLEAN
State VA
ZIP 22101
Phone 703 558-6653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director JOHN R. GARRETT

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