49D0222869 CLIA NUMBER - MC LEAN PEDIATRIC ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 49D0222869
  • Facility Name: MC LEAN PEDIATRIC ASSOCIATES, INC
  • Facility Address: 6845 ELM STREET - SUITE 700A
    MC LEAN, VA
    ZIP 22101
  • Facility Phone: 703 356-5722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHOU L. THIEDE
  • NPI Number: 1316140692
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D0222869
LAB Type Physician Office
Facility Name MC LEAN PEDIATRIC ASSOCIATES, INC
Street 6845 ELM STREET - SUITE 700A
City MC LEAN
State VA
ZIP 22101
Phone 703 356-5722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director CHOU L. THIEDE

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