49D2005528 CLIA NUMBER - CRESTWOOD PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D2005528
  • Facility Name: CRESTWOOD PEDIATRIC ASSOCIATES
  • Facility Address: 14535 JOHN MARSHALL HIGHWAY - SUITE 201
    GAINESVILLE, VA
    ZIP 20155
  • Facility Phone: 703 361-7131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE ABBOTT MD
  • NPI Number: 1629034897
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2005528
LAB Type Physician Office
Facility Name CRESTWOOD PEDIATRIC ASSOCIATES
Street 14535 JOHN MARSHALL HIGHWAY - SUITE 201
City GAINESVILLE
State VA
ZIP 20155
Phone 703 361-7131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director KATHERINE ABBOTT MD

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