49D2048444 CLIA NUMBER - LOUDOUN MEDICAL GROUP DBA THE EYE CENTER

Laboratory Demographics

  • CLIA Code: 49D2048444
  • Facility Name: LOUDOUN MEDICAL GROUP DBA THE EYE CENTER
  • Facility Address: 8751 SUDLEY ROAD - 2ND FLOOR
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 571 229-1155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSSELL PEARLMAN
  • NPI Number: 1285021345
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 49D2048444
LAB Type Physician Office
Facility Name LOUDOUN MEDICAL GROUP DBA THE EYE CENTER
Street 8751 SUDLEY ROAD - 2ND FLOOR
City MANASSAS
State VA
ZIP 20110
Phone 571 229-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director RUSSELL PEARLMAN

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