49D2043784 CLIA NUMBER - CHILDREN'S ADOLESCENT PEDIATRIC SERVICES, PLLC

Laboratory Demographics

  • CLIA Code: 49D2043784
  • Facility Name: CHILDREN'S ADOLESCENT PEDIATRIC SERVICES, PLLC
  • Facility Address: 161 FORT EVANS ROAD, NE - SUITE 330
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 703 777-5224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOSUN FAQIRI
  • NPI Number: 1447519715
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2043784
LAB Type Physician Office
Facility Name CHILDREN'S ADOLESCENT PEDIATRIC SERVICES, PLLC
Street 161 FORT EVANS ROAD, NE - SUITE 330
City LEESBURG
State VA
ZIP 20176
Phone 703 777-5224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director SOSUN FAQIRI

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