49D0929006 CLIA NUMBER - LOUDOUN PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D0929006
  • Facility Name: LOUDOUN PEDIATRIC ASSOCIATES
  • Facility Address: 19500 SANDRIDGE WAY SUITE 110
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 703 723-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAX R. LINS
  • NPI Number: 1073829065
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0929006
LAB Type Physician Office
Facility Name LOUDOUN PEDIATRIC ASSOCIATES
Street 19500 SANDRIDGE WAY SUITE 110
City LEESBURG
State VA
ZIP 20176
Phone 703 723-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director MAX R. LINS

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