49D1056449 CLIA NUMBER - ADVANCED ENT SPECIALISTS

Laboratory Demographics

  • CLIA Code: 49D1056449
  • Facility Name: ADVANCED ENT SPECIALISTS
  • Facility Address: 19490 SANDRIDGE WAY, SUITE 230
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 703 858-5885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHESH S. PARAMESWAREN, MD
  • NPI Number: 1215051693
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1056449
LAB Type Physician Office
Facility Name ADVANCED ENT SPECIALISTS
Street 19490 SANDRIDGE WAY, SUITE 230
City LEESBURG
State VA
ZIP 20176
Phone 703 858-5885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director MAHESH S. PARAMESWAREN, MD

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