21D0214973 CLIA NUMBER - PADMA LALA MD

Laboratory Demographics

  • CLIA Code: 21D0214973
  • Facility Name: PADMA LALA MD
  • Facility Address: 1410 CRAIN HWY N SUITE 3A
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 766-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PADMA M. LALA
  • NPI Number: 1093742371
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0214973
LAB Type Physician Office
Facility Name PADMA LALA MD
Street 1410 CRAIN HWY N SUITE 3A
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 766-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PADMA M. LALA

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