49D0953835 CLIA NUMBER - DULLES MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 49D0953835
  • Facility Name: DULLES MEDICAL GROUP
  • Facility Address: 224 D CORNWALL STREET - SUITE 303
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 703 777-8840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL J. PATEL
  • NPI Number: 1053408732
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0953835
LAB Type Physician Office
Facility Name DULLES MEDICAL GROUP
Street 224 D CORNWALL STREET - SUITE 303
City LEESBURG
State VA
ZIP 20176
Phone 703 777-8840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director ANIL J. PATEL

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