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49D0223634 CLIA NUMBER - SENTARA INTERNAL MEDICINE PHYSICIANS WOODBRIDGE

Laboratory Demographics

CLIA Number: 49D0223634

Facility Name: SENTARA INTERNAL MEDICINE PHYSICIANS WOODBRIDGE

Facility Address:
2280 OPITZ BLVD SUITE 250
WOODBRIDGE, VA
ZIP 22191
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Facility Phone Number: 703 523-1720

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1790053965

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 49D0223634
LAB Type Physician Office
Facility Name SENTARA INTERNAL MEDICINE PHYSICIANS WOODBRIDGE
Street 2280 OPITZ BLVD SUITE 250
City WOODBRIDGE
State VA
ZIP 22191
Phone 703 523-1720
CertificateType 4
CertificateEffectiveDate 5/21/2022
CertificateExpirationDate 5/20/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024