21D0219876 CLIA NUMBER - ANNAPOLIS PEDIATRICS AT ANNAPOLIS

Laboratory Demographics

  • CLIA Code: 21D0219876
  • Facility Name: ANNAPOLIS PEDIATRICS AT ANNAPOLIS
  • Facility Address: 200 FORBES STREET
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 263-6363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE M. EDWARDS
  • NPI Number: 1154451094
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0219876
LAB Type Physician Office
Facility Name ANNAPOLIS PEDIATRICS AT ANNAPOLIS
Street 200 FORBES STREET
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 263-6363
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 KATHERINE M. EDWARDS

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