49D2123575 CLIA NUMBER - PEDSPLUS URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 49D2123575
  • Facility Name: PEDSPLUS URGENT CARE, LLC
  • Facility Address: 15521 REAL ESTATE AVENUE #206
    KING GEORGE, VA
    ZIP 22485
  • Facility Phone: 540 289-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEAN Y. LAURORE
  • NPI Number: 1497106504
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2123575
LAB Type Physician Office
Facility Name PEDSPLUS URGENT CARE, LLC
Street 15521 REAL ESTATE AVENUE #206
City KING GEORGE
State VA
ZIP 22485
Phone 540 289-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director JEAN Y. LAURORE

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