49D2274829 CLIA NUMBER - GEORGE MASON UNIVERSITY EMPLOYEE HEALTH AND WELL BEING

Laboratory Demographics

  • CLIA Code: 49D2274829
  • Facility Name: GEORGE MASON UNIVERSITY EMPLOYEE HEALTH AND WELL BEING
  • Facility Address: 10428 RIVANNA RIVER WAY, ROOM 3053
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: 703 993-6001
  • Facility Type: Other - EMPLOYEE HEALTH
  • Facility Type: Waiver
  • Lab Director: ANGELA CHEZEM
  • NPI Number: 1295852622
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2274829
LAB Type Other - EMPLOYEE HEALTH
Facility Name GEORGE MASON UNIVERSITY EMPLOYEE HEALTH AND WELL BEING
Street 10428 RIVANNA RIVER WAY, ROOM 3053
City FAIRFAX
State VA
ZIP 22030
Phone 703 993-6001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Other - EMPLOYEE HEALTH
Lab Director ANGELA CHEZEM

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This page was last updated on: 6/4/2025