49D2269699 CLIA NUMBER - TYSONS CORNER DIAGNOSTIC IMAGING

Laboratory Demographics

  • CLIA Code: 49D2269699
  • Facility Name: TYSONS CORNER DIAGNOSTIC IMAGING
  • Facility Address: 8320 OLD COURTHOUSE RD, SUITE 130
    VIENNA, VA
    ZIP 22182
  • Facility Phone: 703 356-4900
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: VIC DAVID
  • NPI Number: 1417915711
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 49D2269699
LAB Type Independent
Facility Name TYSONS CORNER DIAGNOSTIC IMAGING
Street 8320 OLD COURTHOUSE RD, SUITE 130
City VIENNA
State VA
ZIP 22182
Phone 703 356-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Independent
Lab Director VIC DAVID

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