49D2115240 CLIA NUMBER - VIRGINIA INTERVENTIONAL AND VASCULAR ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D2115240
  • Facility Name: VIRGINIA INTERVENTIONAL AND VASCULAR ASSOCIATES
  • Facility Address: 10401 SPOTSYLVANIA AVENUE - SUITE 203
    FREDERICKSBURG, VA
    ZIP 22408
  • Facility Phone: 540 654-9118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMER D. HIJAZ
  • NPI Number: 1902823727
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 49D2115240
LAB Type Physician Office
Facility Name VIRGINIA INTERVENTIONAL AND VASCULAR ASSOCIATES
Street 10401 SPOTSYLVANIA AVENUE - SUITE 203
City FREDERICKSBURG
State VA
ZIP 22408
Phone 540 654-9118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director SAMER D. HIJAZ

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