49D2167356 CLIA NUMBER - VIRGINIA PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 49D2167356
  • Facility Name: VIRGINIA PEDIATRIC GROUP
  • Facility Address: 24560 SOUTHPOINT DR, SUITE 150
    ALDIE, VA
    ZIP 20105
  • Facility Phone: (703) 573-2432
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES BAUGH
  • NPI Number: 1396874905
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2167356
LAB Type Physician Office
Facility Name VIRGINIA PEDIATRIC GROUP
Street 24560 SOUTHPOINT DR, SUITE 150
City ALDIE
State VA
ZIP 20105
Phone 7035732432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director JAMES BAUGH

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This page was last updated on: 5/18/2026