49D2177288 CLIA NUMBER - INOVA KELLAR CENTER

Laboratory Demographics

  • CLIA Code: 49D2177288
  • Facility Name: INOVA KELLAR CENTER
  • Facility Address: 46050 MANEKIN PLAZA SUITE 110
    STERLING, VA
    ZIP 20166
  • Facility Phone: 571 665-6710
  • Facility Type: Other - BEHAVIORAL HEALTH OUTPAT
  • Facility Type: Waiver
  • Lab Director: SONIA THOMAS
  • NPI Number: 1497808679
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2177288
LAB Type Other - BEHAVIORAL HEALTH OUTPAT
Facility Name INOVA KELLAR CENTER
Street 46050 MANEKIN PLAZA SUITE 110
City STERLING
State VA
ZIP 20166
Phone 571 665-6710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Other - BEHAVIORAL HEALTH OUTPAT
Lab Director SONIA THOMAS

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