49D0221659 CLIA NUMBER - BURKE FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 49D0221659

Facility Name: BURKE FAMILY PRACTICE

Facility Address:
9409B OLD BURKE LAKE RD
BURKE, VA
ZIP 22015
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Facility Phone Number: (703) 978-4200

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1558928135

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	49D0221659
LAB Type	PHYSICIAN OFFICE
Facility Name	BURKE FAMILY PRACTICE
Street	9409B OLD BURKE LAKE RD
City	BURKE
State	VA
ZIP	22015
Phone	(703) 978-4200

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This page was last updated on: 5/11/2023