49D0971768 CLIA NUMBER - NASRIN EJTEMAEE MD PC

Laboratory Demographics

  • CLIA Code: 49D0971768
  • Facility Name: NASRIN EJTEMAEE MD PC
  • Facility Address: 8375 GREENSBORO DRIVE -SUITE A
    MCLEAN, VA
    ZIP 22102
  • Facility Phone: 703 893-8345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASRIN EJTEMAEE
  • NPI Number: 1497850077
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0971768
LAB Type Physician Office
Facility Name NASRIN EJTEMAEE MD PC
Street 8375 GREENSBORO DRIVE -SUITE A
City MCLEAN
State VA
ZIP 22102
Phone 703 893-8345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director NASRIN EJTEMAEE

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