49D2209715 CLIA NUMBER - MANASSAS INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2209715
  • Facility Name: MANASSAS INTERNAL MEDICINE
  • Facility Address: 8569 SUDLEY RD SUITE B
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: (703) 257-7749
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOUNG K. KIM
  • NPI Number: 1609804285
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2209715
LAB Type Physician Office
Facility Name MANASSAS INTERNAL MEDICINE
Street 8569 SUDLEY RD SUITE B
City MANASSAS
State VA
ZIP 20110
Phone 7032577749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director YOUNG K. KIM

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This page was last updated on: 5/18/2026