49D2152710 CLIA NUMBER - MEDNOVATIONS LLC

Laboratory Demographics

  • CLIA Code: 49D2152710
  • Facility Name: MEDNOVATIONS LLC
  • Facility Address: 3122 GOLANSKY BLVD SUITE 101
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 571 989-4134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANTAL LEWIS
  • NPI Number: 1013402593
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2152710
LAB Type Physician Office
Facility Name MEDNOVATIONS LLC
Street 3122 GOLANSKY BLVD SUITE 101
City WOODBRIDGE
State VA
ZIP 22192
Phone 571 989-4134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director CHANTAL LEWIS

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