49D1027302 CLIA NUMBER - NORTH VIRGINIA FAMILY PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 49D1027302
  • Facility Name: NORTH VIRGINIA FAMILY PRACTICE, PC
  • Facility Address: 4331 RIDGEWOOD CENTER DRIVE
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 703 580-0124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TEJAS J. SHAH, MD
  • NPI Number: 1417112236
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1027302
LAB Type Physician Office
Facility Name NORTH VIRGINIA FAMILY PRACTICE, PC
Street 4331 RIDGEWOOD CENTER DRIVE
City WOODBRIDGE
State VA
ZIP 22192
Phone 703 580-0124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director TEJAS J. SHAH, MD

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