49D2151128 CLIA NUMBER - ELANCE' AT WEST END

Laboratory Demographics

CLIA Number: 49D2151128

Facility Name: ELANCE' AT WEST END

Facility Address:
5550 CARDINAL PLACE
ALEXANDRIA, VA
ZIP 22304
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Facility Phone Number: 703 940-3300

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1942805023

Taxonomy: 101YP2500X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	49D2151128
LAB Type	Assisted Living Facility
Facility Name	ELANCE' AT WEST END
Street	5550 CARDINAL PLACE
City	ALEXANDRIA
State	VA
ZIP	22304
Phone	703 940-3300
CertificateType	4
CertificateEffectiveDate	7/29/2022
CertificateExpirationDate	7/28/2024
FacilityType	Waiver

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