49D2072691 CLIA NUMBER - PW PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 49D2072691
  • Facility Name: PW PEDIATRICS PC
  • Facility Address: 4001 PRINCE WILLIAM PKWY SUITE 200
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 571 402-7130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALAH NEBERAI
  • NPI Number: 1881016632
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 49D2072691
LAB Type Physician Office
Facility Name PW PEDIATRICS PC
Street 4001 PRINCE WILLIAM PKWY SUITE 200
City WOODBRIDGE
State VA
ZIP 22192
Phone 571 402-7130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director SALAH NEBERAI

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This page was last updated on: 6/4/2025