49D0988481 CLIA NUMBER - ADVANCED INTERNAL MEDICINE, INC

Laboratory Demographics

  • CLIA Code: 49D0988481
  • Facility Name: ADVANCED INTERNAL MEDICINE, INC
  • Facility Address: 3930 PENDER DRIVE - SUITE 230
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: 703 620-6221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUBARIK A. KHAN, MD
  • NPI Number: 1366468779
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D0988481
LAB Type Physician Office
Facility Name ADVANCED INTERNAL MEDICINE, INC
Street 3930 PENDER DRIVE - SUITE 230
City FAIRFAX
State VA
ZIP 22030
Phone 703 620-6221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director MUBARIK A. KHAN, MD

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