49D2011424 CLIA NUMBER - PADMA WIJETILLEKE, MD, PC

Laboratory Demographics

  • CLIA Code: 49D2011424
  • Facility Name: PADMA WIJETILLEKE, MD, PC
  • Facility Address: 611 S CARLIN SPRINGS ROAD - SUITE 101
    ARLINGTON, VA
    ZIP 22204
  • Facility Phone: (703) 378-0704
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PADMA WIJETILLEKE
  • NPI Number: 1306861562
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2011424
LAB Type Physician Office
Facility Name PADMA WIJETILLEKE, MD, PC
Street 611 S CARLIN SPRINGS ROAD - SUITE 101
City ARLINGTON
State VA
ZIP 22204
Phone 7033780704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director PADMA WIJETILLEKE

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This page was last updated on: 6/29/2026