49D1065987 CLIA NUMBER - CAPITAL AREA PEDIATRICS - RYAN PARK

Laboratory Demographics

  • CLIA Code: 49D1065987
  • Facility Name: CAPITAL AREA PEDIATRICS - RYAN PARK
  • Facility Address: 43480 YUKON DRIVE - SUITE 206
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 723-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CINDY KIM
  • NPI Number: 1629381173
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1065987
LAB Type Physician Office
Facility Name CAPITAL AREA PEDIATRICS - RYAN PARK
Street 43480 YUKON DRIVE - SUITE 206
City ASHBURN
State VA
ZIP 20147
Phone 703 723-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director CINDY KIM

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