49D1091169 CLIA NUMBER - QUALITY INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D1091169
  • Facility Name: QUALITY INTERNAL MEDICINE
  • Facility Address: 1860 TOWN CENTER DRIVE - SUITE 255
    RESTON, VA
    ZIP 20190
  • Facility Phone: 703 707-0607
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNE ROSE N. EAPEN
  • NPI Number: 1497936017
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1091169
LAB Type Physician Office
Facility Name QUALITY INTERNAL MEDICINE
Street 1860 TOWN CENTER DRIVE - SUITE 255
City RESTON
State VA
ZIP 20190
Phone 703 707-0607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director ANNE ROSE N. EAPEN

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