49D2118029 CLIA NUMBER - ASHBURN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D2118029
  • Facility Name: ASHBURN PEDIATRICS
  • Facility Address: 24805 PINEBROOK RD SUITE 109
    CHANTILLY, VA
    ZIP 20152
  • Facility Phone: 703 729-7652
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JYOTSNA SHAH
  • NPI Number: 1376677989
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2118029
LAB Type Physician Office
Facility Name ASHBURN PEDIATRICS
Street 24805 PINEBROOK RD SUITE 109
City CHANTILLY
State VA
ZIP 20152
Phone 703 729-7652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director JYOTSNA SHAH

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