49D0989507 CLIA NUMBER - RYAN CRENSHAW, MD PC

Laboratory Demographics

  • CLIA Code: 49D0989507
  • Facility Name: RYAN CRENSHAW, MD PC
  • Facility Address: 21135 WHITFIELD PLACE - UNIT 102
    STERLING, VA
    ZIP 20164
  • Facility Phone: 703 444-4799
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN P. CRENSHAW, MD
  • NPI Number: 1447342746
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0989507
LAB Type Physician Office
Facility Name RYAN CRENSHAW, MD PC
Street 21135 WHITFIELD PLACE - UNIT 102
City STERLING
State VA
ZIP 20164
Phone 703 444-4799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director RYAN P. CRENSHAW, MD

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