49D2005745 CLIA NUMBER - JEFFREY K NEKOBA, MD

Laboratory Demographics

  • CLIA Code: 49D2005745
  • Facility Name: JEFFREY K NEKOBA, MD
  • Facility Address: 7489 HUNTSMAN BOULEVARD
    SPRINGFIELD, VA
    ZIP 22153
  • Facility Phone: 571 642-1460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY NEKOBA
  • NPI Number: 1134154065
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2005745
LAB Type Physician Office
Facility Name JEFFREY K NEKOBA, MD
Street 7489 HUNTSMAN BOULEVARD
City SPRINGFIELD
State VA
ZIP 22153
Phone 571 642-1460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director JEFFREY NEKOBA

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