49D2031354 CLIA NUMBER - MANASSAS PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 49D2031354
  • Facility Name: MANASSAS PRIMARY CARE LLC
  • Facility Address: 8428 DORSEY CIRCLE - SUITE 101
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 571 379-8827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAVDEEP MATHUR
  • NPI Number: 1972892065
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2031354
LAB Type Physician Office
Facility Name MANASSAS PRIMARY CARE LLC
Street 8428 DORSEY CIRCLE - SUITE 101
City MANASSAS
State VA
ZIP 20110
Phone 571 379-8827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director NAVDEEP MATHUR

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: 9/29/2025