49D2202188 CLIA NUMBER - MOBILE MEDICAL HEALTH

Laboratory Demographics

  • CLIA Code: 49D2202188
  • Facility Name: MOBILE MEDICAL HEALTH
  • Facility Address: 44330 MERCURE CIRCLE, SUITE 204-206
    DULLES, VA
    ZIP 20166
  • Facility Phone: 703 727-0523
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALYSSA B. LAESER
  • NPI Number: 1184294357
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 49D2202188
LAB Type Home Health Agency
Facility Name MOBILE MEDICAL HEALTH
Street 44330 MERCURE CIRCLE, SUITE 204-206
City DULLES
State VA
ZIP 20166
Phone 703 727-0523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Home Health Agency
Lab Director ALYSSA B. LAESER

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