49D1049854 CLIA NUMBER - MARY WASHINGTON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D1049854
  • Facility Name: MARY WASHINGTON PEDIATRICS
  • Facility Address: 10600 SPOTSYLVANIA AVENUE
    FREDERICKSBURG, VA
    ZIP 22408
  • Facility Phone: 540 604-9500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER BODIN
  • NPI Number: 1114945037
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1049854
LAB Type Physician Office
Facility Name MARY WASHINGTON PEDIATRICS
Street 10600 SPOTSYLVANIA AVENUE
City FREDERICKSBURG
State VA
ZIP 22408
Phone 540 604-9500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director JENNIFER BODIN

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