49D1076160 CLIA NUMBER - PREMIER PEDIATRICS OF MANASSAS

Laboratory Demographics

  • CLIA Code: 49D1076160
  • Facility Name: PREMIER PEDIATRICS OF MANASSAS
  • Facility Address: 8713 DIGGES ROAD
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 703 330-9222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIKA Z. CHOWHAN
  • NPI Number: 1477741650
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1076160
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS OF MANASSAS
Street 8713 DIGGES ROAD
City MANASSAS
State VA
ZIP 20110
Phone 703 330-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director ANIKA Z. CHOWHAN

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