49D2071605 CLIA NUMBER - SEVA MEDICAL GROUP, LLC DBA SAHELI OBGYN

Laboratory Demographics

  • CLIA Code: 49D2071605
  • Facility Name: SEVA MEDICAL GROUP, LLC DBA SAHELI OBGYN
  • Facility Address: 24805 PINEBROOK ROAD #101
    CHANTILLY, VA
    ZIP 20152
  • Facility Phone: 571 367-2261
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL GUPTA
  • NPI Number: 1366872285
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2071605
LAB Type Physician Office
Facility Name SEVA MEDICAL GROUP, LLC DBA SAHELI OBGYN
Street 24805 PINEBROOK ROAD #101
City CHANTILLY
State VA
ZIP 20152
Phone 571 367-2261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director ANIL GUPTA

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