49D2293060 CLIA NUMBER - SPRING HILLS-MT VERNON

Laboratory Demographics

  • CLIA Code: 49D2293060
  • Facility Name: SPRING HILLS-MT VERNON
  • Facility Address: 3709 SHANNONS GREEN WAY
    ALEXANDRIA, VA
    ZIP 22309
  • Facility Phone: 703 780-7100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRACEY B. HECOX
  • NPI Number: 1306275805
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2293060
LAB Type Assisted Living Facility
Facility Name SPRING HILLS-MT VERNON
Street 3709 SHANNONS GREEN WAY
City ALEXANDRIA
State VA
ZIP 22309
Phone 703 780-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Assisted Living Facility
Lab Director TRACEY B. HECOX

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