49D2053369 CLIA NUMBER - CAPITAL AREA INTERNAL MEDICINE, INC

Laboratory Demographics

  • CLIA Code: 49D2053369
  • Facility Name: CAPITAL AREA INTERNAL MEDICINE, INC
  • Facility Address: 44121 HARRY BYRD HWY #250
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: (703) 255-6010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREE L. GOGINENI
  • NPI Number: 1568128262
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2053369
LAB Type Physician Office
Facility Name CAPITAL AREA INTERNAL MEDICINE, INC
Street 44121 HARRY BYRD HWY #250
City ASHBURN
State VA
ZIP 20147
Phone 7032556010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director SREE L. GOGINENI

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