49D2049663 CLIA NUMBER - DULLES MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 49D2049663
  • Facility Name: DULLES MEDICAL GROUP
  • Facility Address: 21495 RIDGETOP CIRCLE - SUITE 302
    STERLING, VA
    ZIP 20166
  • Facility Phone: (703) 430-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL J. PATEL
  • NPI Number: 1265788038
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2049663
LAB Type Physician Office
Facility Name DULLES MEDICAL GROUP
Street 21495 RIDGETOP CIRCLE - SUITE 302
City STERLING
State VA
ZIP 20166
Phone 7034306600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director ANIL J. PATEL

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This page was last updated on: 5/18/2026