49D0222794 CLIA NUMBER - RAM NIMMAGADDA MD

Laboratory Demographics

  • CLIA Code: 49D0222794
  • Facility Name: RAM NIMMAGADDA MD
  • Facility Address: 6801 WHITTIER AVE 205
    MC LEAN, VA
    ZIP 22101
  • Facility Phone: 703 356-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAM NIMMAGADDA
  • NPI Number: 1396773859
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0222794
LAB Type Physician Office
Facility Name RAM NIMMAGADDA MD
Street 6801 WHITTIER AVE 205
City MC LEAN
State VA
ZIP 22101
Phone 703 356-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RAM NIMMAGADDA

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