49D0222070 CLIA NUMBER - FAIRFAX PEDIATRIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 49D0222070
  • Facility Name: FAIRFAX PEDIATRIC ASSOCIATES PC
  • Facility Address: 13135 ROUTE 50 - SUITE 201
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 391-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARCELLA VILLA
  • NPI Number: 1902649387
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 49D0222070
LAB Type Physician Office
Facility Name FAIRFAX PEDIATRIC ASSOCIATES PC
Street 13135 ROUTE 50 - SUITE 201
City FAIRFAX
State VA
ZIP 22033
Phone 703 391-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director DR. MARCELLA VILLA

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