21D0217495 CLIA NUMBER - FAMILY TIME PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 21D0217495
  • Facility Name: FAMILY TIME PEDIATRICS, LLC
  • Facility Address: 733 WEST 40TH STREET SUITE LL10
    BALTIMORE, MD
    ZIP 21211
  • Facility Phone: 410 243-8632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL B. SPAR
  • NPI Number: 1215924402
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0217495
LAB Type Physician Office
Facility Name FAMILY TIME PEDIATRICS, LLC
Street 733 WEST 40TH STREET SUITE LL10
City BALTIMORE
State MD
ZIP 21211
Phone 410 243-8632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director RACHEL B. SPAR

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