49D1006319 CLIA NUMBER - ABC PEDIATRICS,PLLC

Laboratory Demographics

  • CLIA Code: 49D1006319
  • Facility Name: ABC PEDIATRICS,PLLC
  • Facility Address: 231 PARK HILL DRIVE
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 540 373-2228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENDA A. BRADSHAW, MD
  • NPI Number: 1790722130
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1006319
LAB Type Physician Office
Facility Name ABC PEDIATRICS,PLLC
Street 231 PARK HILL DRIVE
City FREDERICKSBURG
State VA
ZIP 22401
Phone 540 373-2228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director BRENDA A. BRADSHAW, MD

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