49D2093310 CLIA NUMBER - COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC LLC

Laboratory Demographics

  • CLIA Code: 49D2093310
  • Facility Name: COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC LLC
  • Facility Address: 43810 CENTRAL STATION DRIVE - SUITE 160
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 301 869-9776
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KONSTANTIN KHLUDENEV
  • NPI Number: 1811149784
  • Taxonomy: 207RS0012X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2093310
LAB Type Physician Office
Facility Name COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC LLC
Street 43810 CENTRAL STATION DRIVE - SUITE 160
City ASHBURN
State VA
ZIP 20147
Phone 301 869-9776
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director KONSTANTIN KHLUDENEV

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