21D0210275 CLIA NUMBER - RIVERDALE PARK PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 21D0210275
  • Facility Name: RIVERDALE PARK PEDIATRICS PC
  • Facility Address: 6103 BALTIMORE AVE T-1
    RIVERDALE, MD
    ZIP 20737
  • Facility Phone: 301 277-2779
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EDWIN AGUILAR
  • NPI Number: 1013386846
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0210275
LAB Type Physician Office
Facility Name RIVERDALE PARK PEDIATRICS PC
Street 6103 BALTIMORE AVE T-1
City RIVERDALE
State MD
ZIP 20737
Phone 301 277-2779
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director EDWIN AGUILAR

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