49D1091560 CLIA NUMBER - PIYUSH R PATEL, MD, PC

Laboratory Demographics

  • CLIA Code: 49D1091560
  • Facility Name: PIYUSH R PATEL, MD, PC
  • Facility Address: 13880 BRADDOCK ROAD - SUITE 209
    CENTREVILLE, VA
    ZIP 20121
  • Facility Phone: 703 818-2772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PIYUSH R. PATEL, MD
  • NPI Number: 1821055625
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1091560
LAB Type Physician Office
Facility Name PIYUSH R PATEL, MD, PC
Street 13880 BRADDOCK ROAD - SUITE 209
City CENTREVILLE
State VA
ZIP 20121
Phone 703 818-2772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director PIYUSH R. PATEL, MD

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