49D2093800 CLIA NUMBER - TYSONS GYNECOLOGY AND MENOPAUSE CENTER

Laboratory Demographics

  • CLIA Code: 49D2093800
  • Facility Name: TYSONS GYNECOLOGY AND MENOPAUSE CENTER
  • Facility Address: 8300 OLD COURTHOUSE ROAD - SUITE 140B
    VIENNA, VA
    ZIP 22182
  • Facility Phone: 703 991-6806
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MELINDA S. HALL
  • NPI Number: 1578828505
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 49D2093800
LAB Type Physician Office
Facility Name TYSONS GYNECOLOGY AND MENOPAUSE CENTER
Street 8300 OLD COURTHOUSE ROAD - SUITE 140B
City VIENNA
State VA
ZIP 22182
Phone 703 991-6806
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director MELINDA S. HALL

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