49D2238680 CLIA NUMBER - KINGS TOWN PRIMARY & URGENT CARE

Laboratory Demographics

  • CLIA Code: 49D2238680
  • Facility Name: KINGS TOWN PRIMARY & URGENT CARE
  • Facility Address: 5876 KINGSTOWNE CENTER SUITE 170
    ALEXANDRIA, VA
    ZIP 22315
  • Facility Phone: 703 740-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD MORRIS
  • NPI Number: 1356907612
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2238680
LAB Type Physician Office
Facility Name KINGS TOWN PRIMARY & URGENT CARE
Street 5876 KINGSTOWNE CENTER SUITE 170
City ALEXANDRIA
State VA
ZIP 22315
Phone 703 740-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director RICHARD MORRIS

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