49D2056150 CLIA NUMBER - INOVA ADVANCED IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 49D2056150
  • Facility Name: INOVA ADVANCED IMAGING CENTER
  • Facility Address: 3620 JOSEPH SIEWICK DRIVE - SUITE 109
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 391-3852
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. THEODORE M. FRIEDMAN

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CLIA Record

Field Name Field Value
CLIA Number 49D2056150
LAB Type Physician Office
Facility Name INOVA ADVANCED IMAGING CENTER
Street 3620 JOSEPH SIEWICK DRIVE - SUITE 109
City FAIRFAX
State VA
ZIP 22033
Phone 703 391-3852
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/22/2023
Certificate Expiration Date 7/21/2025
Facility Type Physician Office
Lab Director DR. THEODORE M. FRIEDMAN

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This page was last updated on: 6/4/2025