49D2252182 CLIA NUMBER - NEIGHBORHOOD HEALTH ANNANDALE MEDICAL

Laboratory Demographics

CLIA Code: 49D2252182
Facility Name: NEIGHBORHOOD HEALTH ANNANDALE MEDICAL
Facility Address: 6715 LITTLE RIVER TURNPIKE SUITE 201
ANNANDALE, VA
ZIP 22003
Facility Phone: 703 360-0300
Facility Type: Federally Qualified Health Center
Facility Type: Microscopy
Lab Director: MARTHA WELMAN
NPI Number: 1578928982
Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	49D2252182
LAB Type	Federally Qualified Health Center
Facility Name	NEIGHBORHOOD HEALTH ANNANDALE MEDICAL
Street	6715 LITTLE RIVER TURNPIKE SUITE 201
City	ANNANDALE
State	VA
ZIP	22003
Phone	703 360-0300
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	2/9/2024
Certificate Expiration Date	2/8/2026
Facility Type	Federally Qualified Health Center
Lab Director	MARTHA WELMAN

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