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MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
NPI 1245979855
Nurse Practitioner - Family in Leesburg, VA

Active since June 01, 2022CLIA Certified · 28 labs
19305 RUBY DR, LEESBURG, VA 20176(866) 389-2727 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minuteclinic Diagnostic Of Virginia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC (NPI 1245979855) is a healthcare organization registered as a family in Leesburg, Virginia and active in the NPI registry since June 2022. The organization holds 28 active CLIA laboratory certificates and lists Deborah Jean Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245979855
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
Location Address19305 RUBY DRLeesburg, VA 20176-6508
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146
Phone(866) 389-2727
Organization SubpartNo
Authorized OfficialDeborah Jean PincinceAdministrator · (401) 770-3813
Enumeration DateJune 1, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1245979855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
19305 RUBY DR, Leesburg, VA 20176
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 28

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1072169

Minute Clinic Diagnostic Of Virginia, LLC · Leesburg, VA
Active · expires Aug 8, 2027
CLIA Number49D1072169
Laboratory TypeLimited Services Health
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorMelissa Schweitzer
Laboratory Phone(866) 389-2727
Laboratory LocationMinute Clinic Diagnostic Of Virginia, LLC19305 Ruby Drive, Leesburg, VA 20176
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D1080928

Minute Clinic Diagnostic Of Virginia, LLC · Richmond, VA
Active · expires Mar 4, 2028
CLIA Number49D1080928
Laboratory TypeLimited Healthcare Clinic
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorLeslie Peterson
Laboratory Phone(866) 389-2727
Laboratory LocationMinute Clinic Diagnostic Of Virginia, LLC5001 West Broad Street, Richmond, VA 23230
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D1080578

Minute-Clinic Diagnostic Of Virginia, LLC · South Riding, VA
Active · expires Feb 25, 2028
CLIA Number49D1080578
Laboratory TypeOther
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorAmelia Pires
Laboratory Phone(866) 389-2727
Laboratory LocationMinute-Clinic Diagnostic Of Virginia, LLC24795 Pinebrook Road, South Riding, VA 20152
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D1074616

Minute Clinic Diagnostic Of Virginia, LLC · Annandale, VA
Active · expires Oct 1, 2027
CLIA Number49D1074616
Laboratory TypeLimited Healthcare Clinic
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorBlen Abdi
Laboratory Phone(866) 389-2727
Laboratory LocationMinute Clinic Diagnostic Of Virginia, LLC7205 Little River Turnpike, Annandale, VA 22003
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D1074630

Minute Clinic Diagnostic Of Virginia, LLC · Vienna, VA
Active · expires Oct 1, 2027
CLIA Number49D1074630
Laboratory TypeLimited Healthcare Clinic
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorBlen Abdi
Laboratory Phone(866) 389-2727
Laboratory LocationMinute Clinic Diagnostic Of Virginia, LLC337 Maple Avenue East, Vienna, VA 22180
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D1074632

Minute Clinic Diagnostic Of Virginia, LLC · Alexandria, VA
Active · expires Oct 1, 2027
CLIA Number49D1074632
Laboratory TypeLimited Healthcare Clinic
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorBlen Abdi
Laboratory Phone(866) 389-2727
Laboratory LocationMinute Clinic Diagnostic Of Virginia, LLC415 Monroe Avenue, Alexandria, VA 22301
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMON OANHUK CHOI FNP
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (866) 389-2727
LYDIA YILMA NP
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (866) 389-2727
CINTHIA LYVERS FNP
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (866) 389-2727
MINUTECLINIC PRIMARY CARE - VIRGINIA PLLC
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (866) 389-2727
MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (866) 389-2727
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (401) 765-1500
JIN KIM
Pharmacist
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (804) 922-2152
BRANDIE N BUSTILLOS FNP
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Loudoun County (571) 333-5918

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minuteclinic Diagnostic Of Virginia LLC's NPI number?

The NPI number for Minuteclinic Diagnostic Of Virginia LLC is 1245979855. It was assigned to this organization in the NPPES registry on June 1, 2022.

Where is Minuteclinic Diagnostic Of Virginia LLC located?

Minuteclinic Diagnostic Of Virginia LLC is located at 19305 Ruby Dr, Leesburg, VA 20176. The listed phone number is (866) 389-2727.

What is Minuteclinic Diagnostic Of Virginia LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Minuteclinic Diagnostic Of Virginia LLC hold CLIA laboratory certificates?

Yes. 28 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Minuteclinic Diagnostic Of Virginia LLC was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.