49D1016305 CLIA NUMBER - CARDINAL INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D1016305
  • Facility Name: CARDINAL INTERNAL MEDICINE
  • Facility Address: 12731 MARBLESTONE DRIVE - SUITE 200
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 703 897-4700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NAZANIN ALEMZADEH
  • NPI Number: 1881771467
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1016305
LAB Type Physician Office
Facility Name CARDINAL INTERNAL MEDICINE
Street 12731 MARBLESTONE DRIVE - SUITE 200
City WOODBRIDGE
State VA
ZIP 22192
Phone 703 897-4700
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 8/26/2023
Certificate Expiration Date 8/25/2025
Facility Type Physician Office
Lab Director NAZANIN ALEMZADEH

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This page was last updated on: 6/4/2025