49D2178539 CLIA NUMBER - BRANDON AVENUE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 49D2178539
  • Facility Name: BRANDON AVENUE PEDIATRICS
  • Facility Address: 6126 BRANDON AVE
    SPRINGFIELD, VA
    ZIP 22150
  • Facility Phone: 571 830-6337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAAD ALHARIRI
  • NPI Number: 1215334941
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2178539
LAB Type Physician Office
Facility Name BRANDON AVENUE PEDIATRICS
Street 6126 BRANDON AVE
City SPRINGFIELD
State VA
ZIP 22150
Phone 571 830-6337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director SAAD ALHARIRI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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