49D2303132 CLIA NUMBER - ANNANDALE OBGYN

Laboratory Demographics

  • CLIA Code: 49D2303132
  • Facility Name: ANNANDALE OBGYN
  • Facility Address: 2810 OLD LEE HWY
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 642-7522
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA LE
  • NPI Number: 1811057102
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2303132
LAB Type Physician Office
Facility Name ANNANDALE OBGYN
Street 2810 OLD LEE HWY
City FAIRFAX
State VA
ZIP 22031
Phone 703 642-7522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director ANNA LE

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