49D0225370 CLIA NUMBER - BRISTOW PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 49D0225370
  • Facility Name: BRISTOW PEDIATRICS, LLC
  • Facility Address: 9709 BUCHANAN LOOP
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 571 379-4246
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GAIL L. DOLAN
  • NPI Number: 1003178005
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0225370
LAB Type Physician Office
Facility Name BRISTOW PEDIATRICS, LLC
Street 9709 BUCHANAN LOOP
City MANASSAS
State VA
ZIP 20110
Phone 571 379-4246
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 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director DR. GAIL L. DOLAN

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