49D0221457 CLIA NUMBER - ANNANDALE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D0221457
  • Facility Name: ANNANDALE FAMILY MEDICINE
  • Facility Address: 7617 LITTLE RIVER TURNPIKE #710
    ANNANDALE, VA
    ZIP 22003
  • Facility Phone: 703 941-0267
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD M. FRIEDLER
  • NPI Number: 1508953167
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0221457
LAB Type Physician Office
Facility Name ANNANDALE FAMILY MEDICINE
Street 7617 LITTLE RIVER TURNPIKE #710
City ANNANDALE
State VA
ZIP 22003
Phone 703 941-0267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director EDWARD M. FRIEDLER

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This page was last updated on: 3/20/2025