49D0907126 CLIA NUMBER - UNION MILL PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 49D0907126
  • Facility Name: UNION MILL PEDIATRICS PC
  • Facility Address: 13880 BRADDOCK ROAD - SUITE 201
    CENTREVILLE, VA
    ZIP 20121
  • Facility Phone: 703 802-6304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAURA ERIKSSON MD
  • NPI Number: 1114091931
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0907126
LAB Type Physician Office
Facility Name UNION MILL PEDIATRICS PC
Street 13880 BRADDOCK ROAD - SUITE 201
City CENTREVILLE
State VA
ZIP 20121
Phone 703 802-6304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director MAURA ERIKSSON MD

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