49D1003810 CLIA NUMBER - WHOLE CHILD PEDIATRICS

Laboratory Demographics

CLIA Number: 49D1003810

Facility Name: WHOLE CHILD PEDIATRICS

Facility Address:
20925 PROFESSIONAL PLAZA - SUITE 340
ASHBURN, VA
ZIP 20147
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Facility Phone Number: 703 723-8900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093952277

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	49D1003810
LAB Type	Physician Office
Facility Name	WHOLE CHILD PEDIATRICS
Street	20925 PROFESSIONAL PLAZA - SUITE 340
City	ASHBURN
State	VA
ZIP	20147
Phone	703 723-8900
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024