49D0663445 CLIA NUMBER - VIRGINIA PEDIATRIC & ADOLESCENT CENTER

Laboratory Demographics

  • CLIA Code: 49D0663445
  • Facility Name: VIRGINIA PEDIATRIC & ADOLESCENT CENTER
  • Facility Address: 8316 TRAFORD LANE
    SPRINGFIELD, VA
    ZIP 22152
  • Facility Phone: 703 569-8410
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KIA E. HARKLESS
  • NPI Number: 1366744807
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 49D0663445
LAB Type Physician Office
Facility Name VIRGINIA PEDIATRIC & ADOLESCENT CENTER
Street 8316 TRAFORD LANE
City SPRINGFIELD
State VA
ZIP 22152
Phone 703 569-8410
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 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director KIA E. HARKLESS

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