21D0213407 CLIA NUMBER - PEDIATRIC ASSOCIATES MONT CO

Laboratory Demographics

  • CLIA Code: 21D0213407
  • Facility Name: PEDIATRIC ASSOCIATES MONT CO
  • Facility Address: 2401 BLUERIDGE AVENUE STE 210
    WHEATON, MD
    ZIP 20902
  • Facility Phone: 301 933-6440
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SAMUEL LEIBOWITZ
  • NPI Number: 1295921534
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0213407
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES MONT CO
Street 2401 BLUERIDGE AVENUE STE 210
City WHEATON
State MD
ZIP 20902
Phone 301 933-6440
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 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director SAMUEL LEIBOWITZ

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