49D2125714 CLIA NUMBER - KINDER LIFE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D2125714
  • Facility Name: KINDER LIFE PEDIATRICS
  • Facility Address: 14631 LEE HWY, SUITE 413
    CENTREVILLE, VA
    ZIP 20121
  • Facility Phone: 703 766-1716
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MI HEI CHUNG CHO
  • NPI Number: 1538607254
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2125714
LAB Type Physician Office
Facility Name KINDER LIFE PEDIATRICS
Street 14631 LEE HWY, SUITE 413
City CENTREVILLE
State VA
ZIP 20121
Phone 703 766-1716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director MI HEI CHUNG CHO

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