49D2096406 CLIA NUMBER - ALL FEMALE OBGYN LLC

Laboratory Demographics

CLIA Number: 49D2096406

Facility Name: ALL FEMALE OBGYN LLC

Facility Address:
14631 LEE HWY #405
CENTREVILLE, VA
ZIP 20121
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Facility Phone Number: 703 830-1950

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336697051

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 49D2096406
LAB Type Physician Office
Facility Name ALL FEMALE OBGYN LLC
Street 14631 LEE HWY #405
City CENTREVILLE
State VA
ZIP 20121
Phone 703 830-1950
CertificateType 4
CertificateEffectiveDate 5/22/2023
CertificateExpirationDate 5/21/2025
FacilityType Waiver

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