21D0214044 CLIA NUMBER - FAITH HACKETT MD/JEFFREY SCHMIDLEIN MD

Laboratory Demographics

  • CLIA Code: 21D0214044
  • Facility Name: FAITH HACKETT MD/JEFFREY SCHMIDLEIN MD
  • Facility Address: 844 RITCHIE HIGHWAY SUITE 206
    SEVERNA PARK, MD
    ZIP 21146
  • Facility Phone: 410 647-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACALYN GINSBURG
  • NPI Number: 1154393213
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0214044
LAB Type Physician Office
Facility Name FAITH HACKETT MD/JEFFREY SCHMIDLEIN MD
Street 844 RITCHIE HIGHWAY SUITE 206
City SEVERNA PARK
State MD
ZIP 21146
Phone 410 647-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director JACALYN GINSBURG

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