49D0708075 CLIA NUMBER - SUCHITHRA A NANCHERLA MD

Laboratory Demographics

  • CLIA Code: 49D0708075
  • Facility Name: SUCHITHRA A NANCHERLA MD
  • Facility Address: 103 WEST BROAD STREET, SUITE 120
    FALLS CHURCH, VA
    ZIP 22046
  • Facility Phone: 703 534-6002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUCHITHRA A. NANCHERLA
  • NPI Number: 1851312995
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0708075
LAB Type Physician Office
Facility Name SUCHITHRA A NANCHERLA MD
Street 103 WEST BROAD STREET, SUITE 120
City FALLS CHURCH
State VA
ZIP 22046
Phone 703 534-6002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director SUCHITHRA A. NANCHERLA

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