49D2298544 CLIA NUMBER - ASHBURN VISION SOURCE, OPTOMETRISTS

Laboratory Demographics

  • CLIA Code: 49D2298544
  • Facility Name: ASHBURN VISION SOURCE, OPTOMETRISTS
  • Facility Address: 44075 PIPELINE PLAZA, SUITE 205
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 724-9948
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN W. HINKLE
  • NPI Number: 1053799429
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 49D2298544
LAB Type Physician Office
Facility Name ASHBURN VISION SOURCE, OPTOMETRISTS
Street 44075 PIPELINE PLAZA, SUITE 205
City ASHBURN
State VA
ZIP 20147
Phone 703 724-9948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director STEPHEN W. HINKLE

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