49D2055477 CLIA NUMBER - PHYSICAL MEDICINE ASSOC, LTD DBA NATIONAL SPINE AND PAIN CENTERS

Laboratory Demographics

  • CLIA Code: 49D2055477
  • Facility Name: PHYSICAL MEDICINE ASSOC, LTD DBA NATIONAL SPINE AND PAIN CENTERS
  • Facility Address: 3803 NORTH FAIRFAX DRIVE - SUITE 400
    ARLINGTON, VA
    ZIP 22203
  • Facility Phone: 703 914-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASSAF GORDON
  • NPI Number: 1427549245
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 49D2055477
LAB Type Physician Office
Facility Name PHYSICAL MEDICINE ASSOC, LTD DBA NATIONAL SPINE AND PAIN CENTERS
Street 3803 NORTH FAIRFAX DRIVE - SUITE 400
City ARLINGTON
State VA
ZIP 22203
Phone 703 914-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director ASSAF GORDON

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