49D2321469 CLIA NUMBER - RELIANT MD GROUP LLC

Laboratory Demographics

  • CLIA Code: 49D2321469
  • Facility Name: RELIANT MD GROUP LLC
  • Facility Address: 19415 DEERFIELD AVE #103
    LANSDOWNE, VA
    ZIP 20176
  • Facility Phone: 571 351-4833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUMAN MANCHIREDDY
  • NPI Number: 1154810901
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2321469
LAB Type Physician Office
Facility Name RELIANT MD GROUP LLC
Street 19415 DEERFIELD AVE #103
City LANSDOWNE
State VA
ZIP 20176
Phone 571 351-4833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director SUMAN MANCHIREDDY

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