49D2322866 CLIA NUMBER - CASA PEDIATICS URGENT CARE

Laboratory Demographics

  • CLIA Code: 49D2322866
  • Facility Name: CASA PEDIATICS URGENT CARE
  • Facility Address: 14120 NOBLEWOOD PLAZA #105
    WOODBRIDGE, VA
    ZIP 22193
  • Facility Phone: 703 485-0470
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: MARTHA CASAMALHUAPA
  • NPI Number: 1639947369
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D2322866
LAB Type Other - URGENT CARE
Facility Name CASA PEDIATICS URGENT CARE
Street 14120 NOBLEWOOD PLAZA #105
City WOODBRIDGE
State VA
ZIP 22193
Phone 703 485-0470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Other - URGENT CARE
Lab Director MARTHA CASAMALHUAPA

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