21D0213175 CLIA NUMBER - PEDIATRIC AND ADOLESCENT CARE OF SILVER SPRING PA

Laboratory Demographics

CLIA Number: 21D0213175

Facility Name: PEDIATRIC AND ADOLESCENT CARE OF SILVER SPRING PA

Facility Address:
12501 PROSPERITY DRIVE SUITE 100
SILVER SPRING, MD
ZIP 20904
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Facility Phone Number: 301 681-6730

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1033292420

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	21D0213175
LAB Type	Physician Office
Facility Name	PEDIATRIC AND ADOLESCENT CARE OF SILVER SPRING PA
Street	12501 PROSPERITY DRIVE SUITE 100
City	SILVER SPRING
State	MD
ZIP	20904
Phone	301 681-6730
CertificateType	2
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024