49D2087358 CLIA NUMBER - VIRGINIA HOSPITAL CENTER - PHYSICIANS GROUP PRIMARY CARE - FALLS CHURCH

Laboratory Demographics

  • CLIA Code: 49D2087358
  • Facility Name: VIRGINIA HOSPITAL CENTER - PHYSICIANS GROUP PRIMARY CARE - FALLS CHURCH
  • Facility Address: 400 SOUTH MAPLE AVENUE - SUITE 200
    FALLS CHURCH, VA
    ZIP 22046
  • Facility Phone: 703 532-5436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON J. BOE
  • NPI Number: 1669620217
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 49D2087358
LAB Type Physician Office
Facility Name VIRGINIA HOSPITAL CENTER - PHYSICIANS GROUP PRIMARY CARE - FALLS CHURCH
Street 400 SOUTH MAPLE AVENUE - SUITE 200
City FALLS CHURCH
State VA
ZIP 22046
Phone 703 532-5436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director ALLISON J. BOE

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