49D2220086 CLIA NUMBER - THOMPSON MD LLC

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Laboratory Demographics

CLIA Number: 49D2220086

Facility Name: THOMPSON MD LLC

Facility Address:
3541 W BRADDOCK RD SUITE 100
ALEXANDRIA, VA
ZIP 22302
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Facility Phone Number: 540 675-4715

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609489483

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	49D2220086
LAB Type	Physician Office
Facility Name	THOMPSON MD LLC
Street	3541 W BRADDOCK RD SUITE 100
City	ALEXANDRIA
State	VA
ZIP	22302
Phone	540 675-4715
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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