49D1097071 CLIA NUMBER - PHYSICAL MEDICINE ASSOCIATES, LTD

Laboratory Demographics

  • CLIA Code: 49D1097071
  • Facility Name: PHYSICAL MEDICINE ASSOCIATES, LTD
  • Facility Address: 525 AMHERST STREET, SUITE 104
    WINCHESTER, VA
    ZIP 22601
  • Facility Phone: 540 931-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACOB LEE
  • NPI Number: 1790173896
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 49D1097071
LAB Type Physician Office
Facility Name PHYSICAL MEDICINE ASSOCIATES, LTD
Street 525 AMHERST STREET, SUITE 104
City WINCHESTER
State VA
ZIP 22601
Phone 540 931-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director JACOB LEE

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