49D2318453 CLIA NUMBER - DULLES OPTOMETRY, LLC

Laboratory Demographics

  • CLIA Code: 49D2318453
  • Facility Name: DULLES OPTOMETRY, LLC
  • Facility Address: 22000 DULLES RETAIL PLZ, STE 168
    STERLING, VA
    ZIP 20166
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL DAVIDSON
  • NPI Number: 1699956136
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2318453
LAB Type Physician Office
Facility Name DULLES OPTOMETRY, LLC
Street 22000 DULLES RETAIL PLZ, STE 168
City STERLING
State VA
ZIP 20166
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director MICHAEL DAVIDSON

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