49D0222604 CLIA NUMBER - FARRELL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D0222604
  • Facility Name: FARRELL PEDIATRICS
  • Facility Address: 1800 TOWN CENTER DR, SUITE 413
    RESTON, VA
    ZIP 20190
  • Facility Phone: (703) 435-0808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN D. FARRELL,JR,MD
  • NPI Number: 1770601825
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0222604
LAB Type Physician Office
Facility Name FARRELL PEDIATRICS
Street 1800 TOWN CENTER DR, SUITE 413
City RESTON
State VA
ZIP 20190
Phone 7034350808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director JOHN D. FARRELL,JR,MD

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This page was last updated on: 5/18/2026