49D2308604 CLIA NUMBER - JOEL-LEAN'S LLC DBA JOEL-LEAN'S SIGNATURE

Laboratory Demographics

  • CLIA Code: 49D2308604
  • Facility Name: JOEL-LEAN'S LLC DBA JOEL-LEAN'S SIGNATURE
  • Facility Address: 9206 PEABODY STREET
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 347 259-7916
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JOELLEAN A. GIBSON
  • NPI Number: 1598443657
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2308604
LAB Type Mobile Laboratory
Facility Name JOEL-LEAN'S LLC DBA JOEL-LEAN'S SIGNATURE
Street 9206 PEABODY STREET
City MANASSAS
State VA
ZIP 20110
Phone 347 259-7916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Mobile Laboratory
Lab Director JOELLEAN A. GIBSON

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