49D1042283 CLIA NUMBER - PRINCE WILLIAM PEDIATRIC CARE, INC

Laboratory Demographics

  • CLIA Code: 49D1042283
  • Facility Name: PRINCE WILLIAM PEDIATRIC CARE, INC
  • Facility Address: 8701 STONEWALL ROAD - UNIT 1A
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 703 257-9878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEIKH M. HASSAIN
  • NPI Number: 1598096091
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1042283
LAB Type Physician Office
Facility Name PRINCE WILLIAM PEDIATRIC CARE, INC
Street 8701 STONEWALL ROAD - UNIT 1A
City MANASSAS
State VA
ZIP 20110
Phone 703 257-9878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director SHEIKH M. HASSAIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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