49D2004821 CLIA NUMBER - PHYSICAL MEDICINE ASSOCIATES, LTD DBA SPINE AND PAIN CENTERS

Laboratory Demographics

  • CLIA Code: 49D2004821
  • Facility Name: PHYSICAL MEDICINE ASSOCIATES, LTD DBA SPINE AND PAIN CENTERS
  • Facility Address: 1420 SPRING HILL ROAD - SUITE 210
    MCLEAN, VA
    ZIP 22102
  • Facility Phone: 703 560-8280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEVERLY A. WHITTENBERG
  • NPI Number: 1003884560
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2004821
LAB Type Physician Office
Facility Name PHYSICAL MEDICINE ASSOCIATES, LTD DBA SPINE AND PAIN CENTERS
Street 1420 SPRING HILL ROAD - SUITE 210
City MCLEAN
State VA
ZIP 22102
Phone 703 560-8280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director BEVERLY A. WHITTENBERG

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