49D0891555 CLIA NUMBER - ASHBURN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D0891555
  • Facility Name: ASHBURN PEDIATRICS
  • Facility Address: 20955 PROFESSIONAL PLAZA - SUITE 200
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 729-7652
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JYOTSNA SHAH
  • NPI Number: 1003276783
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0891555
LAB Type Physician Office
Facility Name ASHBURN PEDIATRICS
Street 20955 PROFESSIONAL PLAZA - SUITE 200
City ASHBURN
State VA
ZIP 20147
Phone 703 729-7652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director JYOTSNA SHAH

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