49D1104742 CLIA NUMBER - ALLERGY PARTNERS OF NORTHERN VIRGINIA

Laboratory Demographics

  • CLIA Code: 49D1104742
  • Facility Name: ALLERGY PARTNERS OF NORTHERN VIRGINIA
  • Facility Address: 14520 AVION PKWY SUITE 150
    CHANTILLY, VA
    ZIP 20151
  • Facility Phone: 703 378-5155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THEODORE T. KIM
  • NPI Number: 1700950045
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 49D1104742
LAB Type Physician Office
Facility Name ALLERGY PARTNERS OF NORTHERN VIRGINIA
Street 14520 AVION PKWY SUITE 150
City CHANTILLY
State VA
ZIP 20151
Phone 703 378-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director THEODORE T. KIM

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