49D2057501 CLIA NUMBER - NOVA EYE CARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 49D2057501
  • Facility Name: NOVA EYE CARE CENTER, LLC
  • Facility Address: 3223 DUKE STREET - SUITE B3
    ALEXANDRIA, VA
    ZIP 22314
  • Facility Phone: 703 813-8997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA KELLY OD
  • NPI Number: 1568612190
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2057501
LAB Type Physician Office
Facility Name NOVA EYE CARE CENTER, LLC
Street 3223 DUKE STREET - SUITE B3
City ALEXANDRIA
State VA
ZIP 22314
Phone 703 813-8997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director TINA KELLY OD

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