49D2298100 CLIA NUMBER - NOVA CHILDREN'S SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 49D2298100
  • Facility Name: NOVA CHILDREN'S SURGERY CENTER, LLC
  • Facility Address: 8505 ARLINGTON BOULEVARD, SUITE 100
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 705-2277
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES L. WALTERS
  • NPI Number: 1447031380
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D2298100
LAB Type Ambulatory Surgery Center
Facility Name NOVA CHILDREN'S SURGERY CENTER, LLC
Street 8505 ARLINGTON BOULEVARD, SUITE 100
City FAIRFAX
State VA
ZIP 22031
Phone 703 705-2277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Ambulatory Surgery Center
Lab Director JAMES L. WALTERS

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