49D2003554 CLIA NUMBER - WOODBRIDGE INTERNAL MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 49D2003554
  • Facility Name: WOODBRIDGE INTERNAL MEDICINE, PC
  • Facility Address: 2200 OPITZ BOULEVARD - SUITE 235
    WOODBRIDGE, VA
    ZIP 22191
  • Facility Phone: (703) 910-7390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARDIN AKRAMI KHASRAGHI
  • NPI Number: 1912142076
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2003554
LAB Type Physician Office
Facility Name WOODBRIDGE INTERNAL MEDICINE, PC
Street 2200 OPITZ BOULEVARD - SUITE 235
City WOODBRIDGE
State VA
ZIP 22191
Phone 7039107390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2026
Certificate Expiration Date 2/10/2028
Facility Type Physician Office
Lab Director FARDIN AKRAMI KHASRAGHI

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: 5/18/2026