49D2056927 CLIA NUMBER - PHYSICAL MEDICINE ASSOCIATES, LTD, DBA NATIONAL SPINE AND PAIN CENTERS

Laboratory Demographics

  • CLIA Code: 49D2056927
  • Facility Name: PHYSICAL MEDICINE ASSOCIATES, LTD, DBA NATIONAL SPINE AND PAIN CENTERS
  • Facility Address: 15195 HEATHCOTE BOULEVARD - SUITE 230
    HAYMARKET, VA
    ZIP 20169
  • Facility Phone: 703 914-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KETAN B. PATEL
  • NPI Number: 1588072847
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 49D2056927
LAB Type Physician Office
Facility Name PHYSICAL MEDICINE ASSOCIATES, LTD, DBA NATIONAL SPINE AND PAIN CENTERS
Street 15195 HEATHCOTE BOULEVARD - SUITE 230
City HAYMARKET
State VA
ZIP 20169
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 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director KETAN B. PATEL

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