49D2077713 CLIA NUMBER - PINNACLE FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 49D2077713
  • Facility Name: PINNACLE FAMILY PRACTICE, LLC
  • Facility Address: 13135 LEE JACKSON MEMORIAL HIGHWAY - SUITE 202
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 429-2901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAKSENA SHUBHRA
  • NPI Number: 1255751228
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2077713
LAB Type Physician Office
Facility Name PINNACLE FAMILY PRACTICE, LLC
Street 13135 LEE JACKSON MEMORIAL HIGHWAY - SUITE 202
City FAIRFAX
State VA
ZIP 22033
Phone 703 429-2901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director SAKSENA SHUBHRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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