49D2154607 CLIA NUMBER - HOUSHANG MAKIPOUR, MD

Laboratory Demographics

  • CLIA Code: 49D2154607
  • Facility Name: HOUSHANG MAKIPOUR, MD
  • Facility Address: 2280 OPITZ BOULEVARD, SUITE 200
    WOODBRIDGE, VA
    ZIP 22191
  • Facility Phone: 703 580-7433
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES R. MIZE
  • NPI Number: 1184624389
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2154607
LAB Type Physician Office
Facility Name HOUSHANG MAKIPOUR, MD
Street 2280 OPITZ BOULEVARD, SUITE 200
City WOODBRIDGE
State VA
ZIP 22191
Phone 703 580-7433
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director JAMES R. MIZE

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