49D0221701 CLIA NUMBER - FAMILY MEDICINE CLIFTON/ CENTREVILLE

Laboratory Demographics

  • CLIA Code: 49D0221701
  • Facility Name: FAMILY MEDICINE CLIFTON/ CENTREVILLE
  • Facility Address: 6201 CENTREVILLE ROAD SUITE 100
    CENTREVILLE, VA
    ZIP 20121
  • Facility Phone: 703 263-9600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EMILY FALTEMIER
  • NPI Number: 1710060330
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0221701
LAB Type Physician Office
Facility Name FAMILY MEDICINE CLIFTON/ CENTREVILLE
Street 6201 CENTREVILLE ROAD SUITE 100
City CENTREVILLE
State VA
ZIP 20121
Phone 703 263-9600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director EMILY FALTEMIER

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