49D2185833 CLIA NUMBER - PATRONUS MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 49D2185833
  • Facility Name: PATRONUS MEDICAL, LLC
  • Facility Address: 8300 BOONE BLVD, STE 500
    VIENNA, VA
    ZIP 22182
  • Facility Phone: 866 870-1877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT G. DARLING
  • NPI Number: 1851830178
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 49D2185833
LAB Type Physician Office
Facility Name PATRONUS MEDICAL, LLC
Street 8300 BOONE BLVD, STE 500
City VIENNA
State VA
ZIP 22182
Phone 866 870-1877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director ROBERT G. DARLING

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