49D2046850 CLIA NUMBER - TRISTATE QUALITY CARE CORP

Laboratory Demographics

  • CLIA Code: 49D2046850
  • Facility Name: TRISTATE QUALITY CARE CORP
  • Facility Address: 7202 FORDSON ROAD
    ALEXANDRIA, VA
    ZIP 22306
  • Facility Phone: (202) 629-8573
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HISHAM RADWAN
  • NPI Number: 1174886980
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2046850
LAB Type Physician Office
Facility Name TRISTATE QUALITY CARE CORP
Street 7202 FORDSON ROAD
City ALEXANDRIA
State VA
ZIP 22306
Phone 2026298573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director HISHAM RADWAN

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