21D0215984 CLIA NUMBER - PEDIATRIC PARTNERS LLC

Laboratory Demographics

  • CLIA Code: 21D0215984
  • Facility Name: PEDIATRIC PARTNERS LLC
  • Facility Address: 690 POOLE ROAD
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 876-7616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN SEYMOUR
  • NPI Number: 1437976388
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0215984
LAB Type Physician Office
Facility Name PEDIATRIC PARTNERS LLC
Street 690 POOLE ROAD
City WESTMINSTER
State MD
ZIP 21157
Phone 410 876-7616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director KEVIN SEYMOUR

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