49D2006354 CLIA NUMBER - LOUDOUN WALK IN MEDICAL CENTER, LLC

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Laboratory Demographics

CLIA Number: 49D2006354

Facility Name: LOUDOUN WALK IN MEDICAL CENTER, LLC

Facility Address:
44320 PREMIER PLAZA - SUITE 120
ASHBURN, VA
ZIP 20147
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Facility Phone Number: 703 726-9056

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073842282

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	49D2006354
LAB Type	Physician Office
Facility Name	LOUDOUN WALK IN MEDICAL CENTER, LLC
Street	44320 PREMIER PLAZA - SUITE 120
City	ASHBURN
State	VA
ZIP	20147
Phone	703 726-9056
CertificateType	4
CertificateEffectiveDate	4/19/2024
CertificateExpirationDate	4/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024