49D1078489 CLIA NUMBER - KHAN PEDIATRIC CARE, PC

Laboratory Demographics

  • CLIA Code: 49D1078489
  • Facility Name: KHAN PEDIATRIC CARE, PC
  • Facility Address: 44121 HARRY BYRD HWY - SUITE 215
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 858-7979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAMAH P. KHAN
  • NPI Number: 1538266994
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D1078489
LAB Type Physician Office
Facility Name KHAN PEDIATRIC CARE, PC
Street 44121 HARRY BYRD HWY - SUITE 215
City ASHBURN
State VA
ZIP 20147
Phone 703 858-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director SHAMAH P. KHAN

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