49D2178624 CLIA NUMBER - ONE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 49D2178624
  • Facility Name: ONE PEDIATRICS PLLC
  • Facility Address: 20745 WILLIAMSPORT PL STE 340
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 445-3472
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HIND BOUALLALI
  • NPI Number: 1104382985
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2178624
LAB Type Physician Office
Facility Name ONE PEDIATRICS PLLC
Street 20745 WILLIAMSPORT PL STE 340
City ASHBURN
State VA
ZIP 20147
Phone 703 445-3472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director HIND BOUALLALI

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