49D2255591 CLIA NUMBER - LOUDOUN MEDICAL GROUP PC DBA MOSAIC INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2255591
  • Facility Name: LOUDOUN MEDICAL GROUP PC DBA MOSAIC INTERNAL MEDICINE
  • Facility Address: 8316 ARLINGTON BLVD SUITE 615
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 571 380-5237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHREELAKSHMI RAMASWAMY
  • NPI Number: 1053077826
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2255591
LAB Type Physician Office
Facility Name LOUDOUN MEDICAL GROUP PC DBA MOSAIC INTERNAL MEDICINE
Street 8316 ARLINGTON BLVD SUITE 615
City FAIRFAX
State VA
ZIP 22031
Phone 571 380-5237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director SHREELAKSHMI RAMASWAMY

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