49D2110745 CLIA NUMBER - UVA OUTPATIENT IMAGING CENTREVILLE

Laboratory Demographics

CLIA Number: 49D2110745

Facility Name: UVA OUTPATIENT IMAGING CENTREVILLE

Facility Address:
6208 MULTIPLEX DRIVE,SUITE 100
CENTREVILLE, VA
ZIP 20121
Get Directions

Facility Phone Number: 703 825-2244

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1255399507

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	49D2110745
LAB Type	Independent
Facility Name	UVA OUTPATIENT IMAGING CENTREVILLE
Street	6208 MULTIPLEX DRIVE,SUITE 100
City	CENTREVILLE
State	VA
ZIP	20121
Phone	703 825-2244
CertificateType	4
CertificateEffectiveDate	10/3/2022
CertificateExpirationDate	10/2/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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