49D2099349 CLIA NUMBER - FAMILY IMMEDIATE CARE, LLC

Laboratory Demographics

  • CLIA Code: 49D2099349
  • Facility Name: FAMILY IMMEDIATE CARE, LLC
  • Facility Address: 420 ELDEN STREET
    HERNDON, VA
    ZIP 20170
  • Facility Phone: (571) 353-1899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHETPAILIN AMARALIKIT
  • NPI Number: 1962893974
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2099349
LAB Type Physician Office
Facility Name FAMILY IMMEDIATE CARE, LLC
Street 420 ELDEN STREET
City HERNDON
State VA
ZIP 20170
Phone 5713531899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director PHETPAILIN AMARALIKIT

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: 5/15/2026