09D2084621 CLIA NUMBER - WILLIAM A CONDRELL MD PC, PRIVIA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 09D2084621
  • Facility Name: WILLIAM A CONDRELL MD PC, PRIVIA MEDICAL GROUP
  • Facility Address: 4910 MASSACHUSSETTS AVENUE NW SUITE 114
    WASHINGTON, DC
    ZIP 20016
  • Facility Phone: 202 244-0812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM A. CONDRELL
  • NPI Number: 1770643280
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D2084621
LAB Type Physician Office
Facility Name WILLIAM A CONDRELL MD PC, PRIVIA MEDICAL GROUP
Street 4910 MASSACHUSSETTS AVENUE NW SUITE 114
City WASHINGTON
State DC
ZIP 20016
Phone 202 244-0812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director DR. WILLIAM A. CONDRELL

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