49D2233307 CLIA NUMBER - LMG CORNWALL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 49D2233307
  • Facility Name: LMG CORNWALL PRIMARY CARE
  • Facility Address: 211 GIBSON STREET NW SUITE 215
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 571 707-2085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH LEE
  • NPI Number: 1205355906
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2233307
LAB Type Physician Office
Facility Name LMG CORNWALL PRIMARY CARE
Street 211 GIBSON STREET NW SUITE 215
City LEESBURG
State VA
ZIP 20176
Phone 571 707-2085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director JOSEPH LEE

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