49D1028600 CLIA NUMBER - PRIMARY CARE DOCTORS GROUP

Laboratory Demographics

  • CLIA Code: 49D1028600
  • Facility Name: PRIMARY CARE DOCTORS GROUP
  • Facility Address: 2616 SHERWOOD HALL LANE - SUITE 406
    ALEXANDRIA, VA
    ZIP 22306
  • Facility Phone: 703 799-1118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEJJENKI S. CHARY
  • NPI Number: 1083839211
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1028600
LAB Type Physician Office
Facility Name PRIMARY CARE DOCTORS GROUP
Street 2616 SHERWOOD HALL LANE - SUITE 406
City ALEXANDRIA
State VA
ZIP 22306
Phone 703 799-1118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director BEJJENKI S. CHARY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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