49D2309025 CLIA NUMBER - GRACE REPRODUCTIVE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 49D2309025
  • Facility Name: GRACE REPRODUCTIVE HEALTH SERVICES
  • Facility Address: 1749 OLD MEADOW ROAD, SUITE 600
    MCLEAN, VA
    ZIP 22102
  • Facility Phone: 703 783-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA L. RUBINO
  • NPI Number: 1750148946
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 49D2309025
LAB Type Physician Office
Facility Name GRACE REPRODUCTIVE HEALTH SERVICES
Street 1749 OLD MEADOW ROAD, SUITE 600
City MCLEAN
State VA
ZIP 22102
Phone 703 783-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director JESSICA L. RUBINO

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