49D2263313 CLIA NUMBER - NEWPORT ACADEMY

Laboratory Demographics

  • CLIA Code: 49D2263313
  • Facility Name: NEWPORT ACADEMY
  • Facility Address: 8280 WILLOW OAKS CORPORATE DRIVE
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 475 559-8165
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEEPIKA TANWAR
  • NPI Number: 1942873575
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2263313
LAB Type Practitioner Other
Facility Name NEWPORT ACADEMY
Street 8280 WILLOW OAKS CORPORATE DRIVE
City FAIRFAX
State VA
ZIP 22031
Phone 475 559-8165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Practitioner Other
Lab Director DEEPIKA TANWAR

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