49D2099347 CLIA NUMBER - GENE SWEETNAM, OD, PC

Laboratory Demographics

  • CLIA Code: 49D2099347
  • Facility Name: GENE SWEETNAM, OD, PC
  • Facility Address: 5206-A ROLLING ROAD
    BURKE, VA
    ZIP 22015
  • Facility Phone: 703 425-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GENE SWEETNAM
  • NPI Number: 1972560241
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2099347
LAB Type Physician Office
Facility Name GENE SWEETNAM, OD, PC
Street 5206-A ROLLING ROAD
City BURKE
State VA
ZIP 22015
Phone 703 425-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director GENE SWEETNAM

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