49D2086858 CLIA NUMBER - LOUDOUN OB/GYN

Laboratory Demographics

  • CLIA Code: 49D2086858
  • Facility Name: LOUDOUN OB/GYN
  • Facility Address: 205 EAST HIRST ROAD - SUITE 304
    PURCELLVILLE, VA
    ZIP 20132
  • Facility Phone: 703 858-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA HYUN-PARK
  • NPI Number: 1659770014
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 49D2086858
LAB Type Physician Office
Facility Name LOUDOUN OB/GYN
Street 205 EAST HIRST ROAD - SUITE 304
City PURCELLVILLE
State VA
ZIP 20132
Phone 703 858-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director LISA HYUN-PARK

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