49D2073167 CLIA NUMBER - MINUTECLINIC DIAGNOSTIC OF VIRGINIA, LLC #1396

Laboratory Demographics

  • CLIA Code: 49D2073167
  • Facility Name: MINUTECLINIC DIAGNOSTIC OF VIRGINIA, LLC #1396
  • Facility Address: 11160 SOUTH LAKES DRIVE
    RESTON, VA
    ZIP 20191
  • Facility Phone: 401 770-3480
  • Facility Type: Other - LIMITED SERVICE CLINIC
  • Facility Type: Waiver
  • Lab Director: BLEN ABDI

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CLIA Record

Field Name Field Value
CLIA Number 49D2073167
LAB Type Other - LIMITED SERVICE CLINIC
Facility Name MINUTECLINIC DIAGNOSTIC OF VIRGINIA, LLC #1396
Street 11160 SOUTH LAKES DRIVE
City RESTON
State VA
ZIP 20191
Phone 401 770-3480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Other - LIMITED SERVICE CLINIC
Lab Director BLEN ABDI

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This page was last updated on: 3/20/2025