49D2114915 CLIA NUMBER - DALEWOOD MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 49D2114915
  • Facility Name: DALEWOOD MEDICAL CENTER
  • Facility Address: 4158 DALE BOULEVARD
    WOODBRIDGE, VA
    ZIP 22193
  • Facility Phone: 703 680-5959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEDA MOTAMENI
  • NPI Number: 1174549265
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2114915
LAB Type Physician Office
Facility Name DALEWOOD MEDICAL CENTER
Street 4158 DALE BOULEVARD
City WOODBRIDGE
State VA
ZIP 22193
Phone 703 680-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director NEDA MOTAMENI

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