49D2137043 CLIA NUMBER - LOUDOUN PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D2137043
  • Facility Name: LOUDOUN PEDIATRIC ASSOCIATES
  • Facility Address: 24430 STONE SPRINGS BOULEVARD - SUITE 115
    DULLES, VA
    ZIP 20166
  • Facility Phone: 703 957-1247
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAX R. LINS
  • NPI Number: 1043752272
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2137043
LAB Type Physician Office
Facility Name LOUDOUN PEDIATRIC ASSOCIATES
Street 24430 STONE SPRINGS BOULEVARD - SUITE 115
City DULLES
State VA
ZIP 20166
Phone 703 957-1247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director MAX R. LINS

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