49D0902332 CLIA NUMBER - PAN AMERICAN INTERNAL MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 49D0902332
  • Facility Name: PAN AMERICAN INTERNAL MEDICINE, PC
  • Facility Address: 6201 LEESBURG PIKE #410
    FALLS CHURCH, VA
    ZIP 22044
  • Facility Phone: 703 532-5044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERALD FROEHNER
  • NPI Number: 1689868671
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0902332
LAB Type Physician Office
Facility Name PAN AMERICAN INTERNAL MEDICINE, PC
Street 6201 LEESBURG PIKE #410
City FALLS CHURCH
State VA
ZIP 22044
Phone 703 532-5044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director JERALD FROEHNER

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