49D2039767 CLIA NUMBER - LOUDOUN INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D2039767
  • Facility Name: LOUDOUN INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 921 E MAIN STREET - SUITE 2D
    PURCELLVILLE, VA
    ZIP 20132
  • Facility Phone: 703 858-3220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD Y. KIM
  • NPI Number: 1992945703
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2039767
LAB Type Physician Office
Facility Name LOUDOUN INTERNAL MEDICINE ASSOCIATES
Street 921 E MAIN STREET - SUITE 2D
City PURCELLVILLE
State VA
ZIP 20132
Phone 703 858-3220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director RICHARD Y. KIM

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