49D1012289 CLIA NUMBER - CENTURY PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 49D1012289
  • Facility Name: CENTURY PEDIATRICS, INC
  • Facility Address: 392 GARRISONVILLE ROAD - SUITE 101
    STAFFORD, VA
    ZIP 22554
  • Facility Phone: 540 288-1551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISHNA P. MADIRAJU
  • NPI Number: 1649666728
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 49D1012289
LAB Type Physician Office
Facility Name CENTURY PEDIATRICS, INC
Street 392 GARRISONVILLE ROAD - SUITE 101
City STAFFORD
State VA
ZIP 22554
Phone 540 288-1551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director KRISHNA P. MADIRAJU

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