49D2042257 CLIA NUMBER - MCLEAN AMBULATORY SURGERY, LLC

Laboratory Demographics

  • CLIA Code: 49D2042257
  • Facility Name: MCLEAN AMBULATORY SURGERY, LLC
  • Facility Address: 7601 LEWINSVILLE ROAD - SUITE 440
    MCLEAN, VA
    ZIP 22102
  • Facility Phone: 703 633-1440
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATRICIA M. REDDING
  • NPI Number: 1528438884
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2042257
LAB Type Ambulatory Surgery Center
Facility Name MCLEAN AMBULATORY SURGERY, LLC
Street 7601 LEWINSVILLE ROAD - SUITE 440
City MCLEAN
State VA
ZIP 22102
Phone 703 633-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Ambulatory Surgery Center
Lab Director PATRICIA M. REDDING

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