49D2072618 CLIA NUMBER - NEIGHBORHOOD HEALTH AT SHERWOOD HALL LANE

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Laboratory Demographics

CLIA Number: 49D2072618

Facility Name: NEIGHBORHOOD HEALTH AT SHERWOOD HALL LANE

Facility Address:
2616 SHERWOOD HALL LANE #106
ALEXANDRIA, VA
ZIP 22306
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Facility Phone Number: 703 360-0300

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1730551193

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D2072618
LAB Type	Federally Qualified Health Center
Facility Name	NEIGHBORHOOD HEALTH AT SHERWOOD HALL LANE
Street	2616 SHERWOOD HALL LANE #106
City	ALEXANDRIA
State	VA
ZIP	22306
Phone	703 360-0300
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024