49D2162647 CLIA NUMBER - VIRGINIA FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 49D2162647

Facility Name: VIRGINIA FAMILY MEDICINE

Facility Address:
2070 CHAIN BRIDGE RD SUITE 150
VIENNA, VA
ZIP 22182
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Facility Phone Number: 703 383-4836

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467909036

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	49D2162647
LAB Type	Physician Office
Facility Name	VIRGINIA FAMILY MEDICINE
Street	2070 CHAIN BRIDGE RD SUITE 150
City	VIENNA
State	VA
ZIP	22182
Phone	703 383-4836
CertificateType	4
CertificateEffectiveDate	2/27/2023
CertificateExpirationDate	2/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024