49D2018622 CLIA NUMBER - POTOMAC UROLOGY CENTER, PC

Laboratory Demographics

  • CLIA Code: 49D2018622
  • Facility Name: POTOMAC UROLOGY CENTER, PC
  • Facility Address: 3700 JOSEPH SIEWICK DR, STE 300
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: (703) 680-2111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANSHU TRIVEDI
  • NPI Number: 1508695891
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 49D2018622
LAB Type Physician Office
Facility Name POTOMAC UROLOGY CENTER, PC
Street 3700 JOSEPH SIEWICK DR, STE 300
City FAIRFAX
State VA
ZIP 22033
Phone 7036802111
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director ANSHU TRIVEDI

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This page was last updated on: 5/18/2026