49D2052015 CLIA NUMBER - DOMINION INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2052015
  • Facility Name: DOMINION INTERNAL MEDICINE
  • Facility Address: 225 OAK SPRINGS DRIVE - SUITE 201
    WARRENTON, VA
    ZIP 20186
  • Facility Phone: 540 347-2002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL K. ACKERMAN
  • NPI Number: 1720132954
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 49D2052015
LAB Type Physician Office
Facility Name DOMINION INTERNAL MEDICINE
Street 225 OAK SPRINGS DRIVE - SUITE 201
City WARRENTON
State VA
ZIP 20186
Phone 540 347-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director MICHAEL K. ACKERMAN

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