49D2172002 CLIA NUMBER - VENESALUD PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 49D2172002
  • Facility Name: VENESALUD PRIMARY CARE, LLC
  • Facility Address: 611 CARLIN SPRINGS RD, STE 412
    ARLINGTON, VA
    ZIP 22204
  • Facility Phone: 703 344-2004
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GLENDA W. THOMAS
  • NPI Number: 1669027652
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2172002
LAB Type Practitioner Other
Facility Name VENESALUD PRIMARY CARE, LLC
Street 611 CARLIN SPRINGS RD, STE 412
City ARLINGTON
State VA
ZIP 22204
Phone 703 344-2004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Practitioner Other
Lab Director GLENDA W. THOMAS

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