49D2239856 CLIA NUMBER - NATIONAL SCIENCE FOUNDATION HEALTH UNIT

Laboratory Demographics

  • CLIA Code: 49D2239856
  • Facility Name: NATIONAL SCIENCE FOUNDATION HEALTH UNIT
  • Facility Address: 2415 EISENHOWER AVE C-4010
    ALEXANDRIA, VA
    ZIP 22314
  • Facility Phone: 703 292-8124
  • Facility Type: Other - FED OCC HLTH CLINIC
  • Facility Type: Waiver
  • Lab Director: MARTINA V. KUKOLJA
  • NPI Number: 1134672066
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 49D2239856
LAB Type Other - FED OCC HLTH CLINIC
Facility Name NATIONAL SCIENCE FOUNDATION HEALTH UNIT
Street 2415 EISENHOWER AVE C-4010
City ALEXANDRIA
State VA
ZIP 22314
Phone 703 292-8124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Other - FED OCC HLTH CLINIC
Lab Director MARTINA V. KUKOLJA

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