49D2089310 CLIA NUMBER - CASA PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 49D2089310
  • Facility Name: CASA PEDIATRICS, PC
  • Facility Address: 14130 NOBLEWOOD PLAZA - SUITE 306
    WOODBRIDGE, VA
    ZIP 22193
  • Facility Phone: 703 485-0470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTHA L. CASAMALHUAPA
  • NPI Number: 1033519855
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2089310
LAB Type Physician Office
Facility Name CASA PEDIATRICS, PC
Street 14130 NOBLEWOOD PLAZA - SUITE 306
City WOODBRIDGE
State VA
ZIP 22193
Phone 703 485-0470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Physician Office
Lab Director MARTHA L. CASAMALHUAPA

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