49D2087295 CLIA NUMBER - PHYSICAL MEDICINE ASSOCIATES, LTD

Laboratory Demographics

  • CLIA Code: 49D2087295
  • Facility Name: PHYSICAL MEDICINE ASSOCIATES, LTD
  • Facility Address: 1750 TYSON'S BLVD, SUITE 120
    MCLEAN, VA
    ZIP 22102
  • Facility Phone: 703 288-0214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MAYO F. FRIEDLLS
  • NPI Number: 1760872410
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 49D2087295
LAB Type Physician Office
Facility Name PHYSICAL MEDICINE ASSOCIATES, LTD
Street 1750 TYSON'S BLVD, SUITE 120
City MCLEAN
State VA
ZIP 22102
Phone 703 288-0214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director DR. MAYO F. FRIEDLLS

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This page was last updated on: 6/4/2025