49D0960245 CLIA NUMBER - COMMONWEALTH INTERNAL MEDICARE

Laboratory Demographics

  • CLIA Code: 49D0960245
  • Facility Name: COMMONWEALTH INTERNAL MEDICARE
  • Facility Address: 611 EMANCIPATION HIGHWAY - SUITE 201
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 540 371-4141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NORMAN A. CHANG MD
  • NPI Number: 1225076946
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0960245
LAB Type Physician Office
Facility Name COMMONWEALTH INTERNAL MEDICARE
Street 611 EMANCIPATION HIGHWAY - SUITE 201
City FREDERICKSBURG
State VA
ZIP 22401
Phone 540 371-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director NORMAN A. CHANG MD

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