49D2233310 CLIA NUMBER - THE UROLOGY GROUP

Laboratory Demographics

  • CLIA Code: 49D2233310
  • Facility Name: THE UROLOGY GROUP
  • Facility Address: 24430 STONE SPRINGS BLVD SUITE 545
    DULLES, VA
    ZIP 20166
  • Facility Phone: 703 724-1195
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER YOUNG
  • NPI Number: 1659728889
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 49D2233310
LAB Type Physician Office
Facility Name THE UROLOGY GROUP
Street 24430 STONE SPRINGS BLVD SUITE 545
City DULLES
State VA
ZIP 20166
Phone 703 724-1195
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director JENNIFER YOUNG

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