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VENESALUD PRIMARY CARE, LLC
NPI 1669027652
Clinic/Center in Arlington, VA

Active since August 06, 2019CLIA 49D2172002 · Waiver
611 S CARLIN SPRINGS RD STE 412, ARLINGTON, VA 22204(703) 344-2004 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Venesalud Primary Care, Llc NPPES

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

VENESALUD PRIMARY CARE, LLC (NPI 1669027652) is a healthcare organization registered as a clinic/center in Arlington, Virginia and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Glenda W Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1669027652
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVENESALUD PRIMARY CARE, LLC
Location Address611 S CARLIN SPRINGS RD STE 412Arlington, VA 22204-1087
Mailing Address5504 Sandy Folly CtFairfax Station, VA 22039-1032 · (757) 771-5444
Phone(703) 344-2004
Organization SubpartNo
Authorized OfficialGlenda W ThomasOwner · (703) 344-2004
Enumeration DateAugust 6, 2019
✔ NPI 1669027652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
611 S CARLIN SPRINGS RD STE 412, Arlington, VA 22204
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CLIA Laboratory Certificates CMS CLIA

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 49D2172002

Venesalud Primary Care, LLC · Arlington, VA
Active · expires Sep 11, 2027
CLIA Number49D2172002
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorGlenda W. Thomas
Laboratory Phone(703) 344-2004
Laboratory LocationVenesalud Primary Care, LLC611 Carlin Springs Rd, Ste 412, Arlington, VA 22204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Venesalud Primary Care, LLC's NPI number?

The NPI number for Venesalud Primary Care, LLC is 1669027652. It was assigned to this organization in the NPPES registry on August 6, 2019.

Where is Venesalud Primary Care, LLC located?

Venesalud Primary Care, LLC is located at 611 S Carlin Springs Rd Ste 412, Arlington, VA 22204. The listed phone number is (703) 344-2004.

What is Venesalud Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Venesalud Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2172002) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Venesalud Primary Care, LLC was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.