49D2155287 CLIA NUMBER - ARBOR TERRACE PRINCE WILLIAM COMMONS

Laboratory Demographics

  • CLIA Code: 49D2155287
  • Facility Name: ARBOR TERRACE PRINCE WILLIAM COMMONS
  • Facility Address: 14080 CENTRAL LOOP
    WOODBRIDGE, VA
    ZIP 22193
  • Facility Phone: (703) 721-8801
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: QUDSIA KHAN
  • NPI Number: 1659935880
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2155287
LAB Type Assisted Living Facility
Facility Name ARBOR TERRACE PRINCE WILLIAM COMMONS
Street 14080 CENTRAL LOOP
City WOODBRIDGE
State VA
ZIP 22193
Phone 7037218801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Assisted Living Facility
Lab Director QUDSIA KHAN

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This page was last updated on: 6/29/2026