21D0219222 CLIA NUMBER - PEDS WORLD ASSOCIATES CORP

Laboratory Demographics

  • CLIA Code: 21D0219222
  • Facility Name: PEDS WORLD ASSOCIATES CORP
  • Facility Address: 3449 WILKENS AVENUE SUITE 308
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: 914 316-7066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDWIN F. AGUILAR LOPEZ
  • NPI Number: 1467025379
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0219222
LAB Type Physician Office
Facility Name PEDS WORLD ASSOCIATES CORP
Street 3449 WILKENS AVENUE SUITE 308
City BALTIMORE
State MD
ZIP 21229
Phone 914 316-7066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. EDWIN F. AGUILAR LOPEZ

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This page was last updated on: 3/20/2025