49D2208019 CLIA NUMBER - THE POTOMAC SCHOOL

Laboratory Demographics

  • CLIA Code: 49D2208019
  • Facility Name: THE POTOMAC SCHOOL
  • Facility Address: 1301 POTOMAC SCHOOL ROAD
    MACLEAN, VA
    ZIP 22101
  • Facility Phone: 703 749-6380
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SHVETA KHULLAR
  • NPI Number: 1164819660
  • Taxonomy: 2255A2300X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 49D2208019
LAB Type School/Student Health Service
Facility Name THE POTOMAC SCHOOL
Street 1301 POTOMAC SCHOOL ROAD
City MACLEAN
State VA
ZIP 22101
Phone 703 749-6380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type School/Student Health Service
Lab Director SHVETA KHULLAR

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