49D2116136 CLIA NUMBER - ONE MEDICAL WITH MEDSTAR HEALTH

Laboratory Demographics

  • CLIA Code: 49D2116136
  • Facility Name: ONE MEDICAL WITH MEDSTAR HEALTH
  • Facility Address: 1775 TYSONS BOUELVARD, #300-COMMERCIAL
    MCLEAN, VA
    ZIP 22102
  • Facility Phone: 888 663-6331
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAPHNE GELLERSON
  • NPI Number: 1467800383
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2116136
LAB Type Physician Office
Facility Name ONE MEDICAL WITH MEDSTAR HEALTH
Street 1775 TYSONS BOUELVARD, #300-COMMERCIAL
City MCLEAN
State VA
ZIP 22102
Phone 888 663-6331
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director DAPHNE GELLERSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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