49D1003810 CLIA NUMBER - WHOLE CHILD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D1003810
  • Facility Name: WHOLE CHILD PEDIATRICS
  • Facility Address: 20925 PROFESSIONAL PLAZA - SUITE 100
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 723-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA E. JUANPERE
  • NPI Number: 1093952277
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1003810
LAB Type Physician Office
Facility Name WHOLE CHILD PEDIATRICS
Street 20925 PROFESSIONAL PLAZA - SUITE 100
City ASHBURN
State VA
ZIP 20147
Phone 703 723-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director MARIA E. JUANPERE

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