49D2167138 CLIA NUMBER - OTOLARYNGOLOGY ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 49D2167138
  • Facility Name: OTOLARYNGOLOGY ASSOCIATES, PC
  • Facility Address: 3801 UNIVERSITY DRIVE, SUITE 300
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: 703 383-8130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RYAN MURRAY
  • NPI Number: 1861534836
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 49D2167138
LAB Type Physician Office
Facility Name OTOLARYNGOLOGY ASSOCIATES, PC
Street 3801 UNIVERSITY DRIVE, SUITE 300
City FAIRFAX
State VA
ZIP 22030
Phone 703 383-8130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director DR. RYAN MURRAY

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