49D2040799 CLIA NUMBER - LOUDOUN MEDICAL GROUP DBA THE EYE CENTER

Laboratory Demographics

  • CLIA Code: 49D2040799
  • Facility Name: LOUDOUN MEDICAL GROUP DBA THE EYE CENTER
  • Facility Address: 1901 NORTH BEAUREGARD STREET - SUITE 100
    ALEXANDRIA, VA
    ZIP 22311
  • Facility Phone: 703 573-8080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSSELL PEARLMAN
  • NPI Number: 1861889008
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 49D2040799
LAB Type Physician Office
Facility Name LOUDOUN MEDICAL GROUP DBA THE EYE CENTER
Street 1901 NORTH BEAUREGARD STREET - SUITE 100
City ALEXANDRIA
State VA
ZIP 22311
Phone 703 573-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Physician Office
Lab Director RUSSELL PEARLMAN

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