49D1041698 CLIA NUMBER - DULLES PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D1041698
  • Facility Name: DULLES PEDIATRICS
  • Facility Address: 4229 LAFAYETTE CENTER DRIVE - SUITE 1425
    CHANTILLY, VA
    ZIP 20151
  • Facility Phone: 703 263-9323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRASAD REKULAPELLI
  • NPI Number: 1982812210
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1041698
LAB Type Physician Office
Facility Name DULLES PEDIATRICS
Street 4229 LAFAYETTE CENTER DRIVE - SUITE 1425
City CHANTILLY
State VA
ZIP 20151
Phone 703 263-9323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director PRASAD REKULAPELLI

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