49D0223718 CLIA NUMBER - NOVA PEDIATRICS LTD

Laboratory Demographics

  • CLIA Code: 49D0223718
  • Facility Name: NOVA PEDIATRICS LTD
  • Facility Address: 1483 OLD BRIDGE RD - SUITE 201
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 703 491-2141
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURENCE A. SEIDMAN MD
  • NPI Number: 1033224340
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0223718
LAB Type Physician Office
Facility Name NOVA PEDIATRICS LTD
Street 1483 OLD BRIDGE RD - SUITE 201
City WOODBRIDGE
State VA
ZIP 22192
Phone 703 491-2141
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director LAURENCE A. SEIDMAN MD

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