49D2209045 CLIA NUMBER - MARY MARSHALL ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 49D2209045
  • Facility Name: MARY MARSHALL ASSISTED LIVING
  • Facility Address: 2000 SOUTH FIFTH STREET
    ARLINGTON, VA
    ZIP 22204
  • Facility Phone: 571 527-5000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DIVINA ALSTON
  • NPI Number: 1588018071
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2209045
LAB Type Assisted Living Facility
Facility Name MARY MARSHALL ASSISTED LIVING
Street 2000 SOUTH FIFTH STREET
City ARLINGTON
State VA
ZIP 22204
Phone 571 527-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Assisted Living Facility
Lab Director DIVINA ALSTON

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