49D0221965 CLIA NUMBER - PEDIATRIC SPECIALISTS OF VA CENTER FOR CANCER AND BLOOD DISORDERS

Laboratory Demographics

  • CLIA Code: 49D0221965
  • Facility Name: PEDIATRIC SPECIALISTS OF VA CENTER FOR CANCER AND BLOOD DISORDERS
  • Facility Address: 8081 INNOVATION PARK DR, BLDG B, SUITE 765
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 571 472-1717
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHARIF ALI
  • NPI Number: 1962592691
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D0221965
LAB Type Physician Office
Facility Name PEDIATRIC SPECIALISTS OF VA CENTER FOR CANCER AND BLOOD DISORDERS
Street 8081 INNOVATION PARK DR, BLDG B, SUITE 765
City FAIRFAX
State VA
ZIP 22031
Phone 571 472-1717
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director SHARIF ALI

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