49D1020972 CLIA NUMBER - PIEDMONT PEDIATRICS, PLC

Laboratory Demographics

  • CLIA Code: 49D1020972
  • Facility Name: PIEDMONT PEDIATRICS, PLC
  • Facility Address: 20 ROCK POINTE LANE
    WARRENTON, VA
    ZIP 20186
  • Facility Phone: 540 341-1712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS RUSTOM
  • NPI Number: 1205802402
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1020972
LAB Type Physician Office
Facility Name PIEDMONT PEDIATRICS, PLC
Street 20 ROCK POINTE LANE
City WARRENTON
State VA
ZIP 20186
Phone 540 341-1712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director DENNIS RUSTOM

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