49D2280043 CLIA NUMBER - HARRIET V GREENFIELD NP, LLC

Laboratory Demographics

  • CLIA Code: 49D2280043
  • Facility Name: HARRIET V GREENFIELD NP, LLC
  • Facility Address: 12656-A LAKE RIDGE DR
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 571 427-2095
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HARRIET V. GREENFIELD
  • NPI Number: 1790897122
  • Taxonomy: 363LA2200X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2280043
LAB Type Practitioner Other
Facility Name HARRIET V GREENFIELD NP, LLC
Street 12656-A LAKE RIDGE DR
City WOODBRIDGE
State VA
ZIP 22192
Phone 571 427-2095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Practitioner Other
Lab Director HARRIET V. GREENFIELD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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