49D2221882 CLIA NUMBER - UVA PRINCE WILLIAM MEDICAL CENTER CARDIAC REHABILITATION

Laboratory Demographics

  • CLIA Code: 49D2221882
  • Facility Name: UVA PRINCE WILLIAM MEDICAL CENTER CARDIAC REHABILITATION
  • Facility Address: 8640 SUDLEY RD SUITE 104
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 703 369-5959
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ARA MARANIAN
  • NPI Number: 1700440674
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2221882
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UVA PRINCE WILLIAM MEDICAL CENTER CARDIAC REHABILITATION
Street 8640 SUDLEY RD SUITE 104
City MANASSAS
State VA
ZIP 20110
Phone 703 369-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ARA MARANIAN

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