49D2040801 CLIA NUMBER - LOUDOUN MEDICAL GROUP DBA THE EYE CENTER

Laboratory Demographics

  • CLIA Code: 49D2040801
  • Facility Name: LOUDOUN MEDICAL GROUP DBA THE EYE CENTER
  • Facility Address: 21475 RIDGETOP CIRCLE, SUITE 300
    STERLING, VA
    ZIP 20166
  • Facility Phone: 703 430-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSSELL PEARLMAN
  • NPI Number: 1760879902
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 49D2040801
LAB Type Physician Office
Facility Name LOUDOUN MEDICAL GROUP DBA THE EYE CENTER
Street 21475 RIDGETOP CIRCLE, SUITE 300
City STERLING
State VA
ZIP 20166
Phone 703 430-4400
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