49D0946572 CLIA NUMBER - INGRID I CHUNG MD

Laboratory Demographics

  • CLIA Code: 49D0946572
  • Facility Name: INGRID I CHUNG MD
  • Facility Address: 4229 LAFAYETTE CENTER DRIVE - SUITE 1790
    CHANTILLY, VA
    ZIP 20151
  • Facility Phone: 703 378-3508
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INGRID I. CHUNG MD
  • NPI Number: 1073622742
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0946572
LAB Type Physician Office
Facility Name INGRID I CHUNG MD
Street 4229 LAFAYETTE CENTER DRIVE - SUITE 1790
City CHANTILLY
State VA
ZIP 20151
Phone 703 378-3508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director INGRID I. CHUNG MD

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