49D1005764 CLIA NUMBER - JEFF J S PAN, MD

Laboratory Demographics

  • CLIA Code: 49D1005764
  • Facility Name: JEFF J S PAN, MD
  • Facility Address: 6408 SEVEN CORNERS PLACE - L
    FALLS CHURCH, VA
    ZIP 22044
  • Facility Phone: 703 534-0415
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFF J. PAN, MD
  • NPI Number: 1437261138
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 49D1005764
LAB Type Physician Office
Facility Name JEFF J S PAN, MD
Street 6408 SEVEN CORNERS PLACE - L
City FALLS CHURCH
State VA
ZIP 22044
Phone 703 534-0415
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director JEFF J. PAN, MD

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