49D1101903 CLIA NUMBER - PRIMEDOC FALLS CHURCH

Laboratory Demographics

  • CLIA Code: 49D1101903
  • Facility Name: PRIMEDOC FALLS CHURCH
  • Facility Address: 513 W BROAD STREET - SUITE 100
    FALLS CHURCH, VA
    ZIP 22046
  • Facility Phone: 703 940-0000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARUTYUN HAROYAN
  • NPI Number: 1831892314
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1101903
LAB Type Physician Office
Facility Name PRIMEDOC FALLS CHURCH
Street 513 W BROAD STREET - SUITE 100
City FALLS CHURCH
State VA
ZIP 22046
Phone 703 940-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director HARUTYUN HAROYAN

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