21D0219995 CLIA NUMBER - MENCHAVEZ PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D0219995
  • Facility Name: MENCHAVEZ PEDIATRICS
  • Facility Address: 915 BISHOP WALSH ROAD
    CUMBERLAND, MD
    ZIP 21502
  • Facility Phone: 301 777-2722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CELESTINO M. MENCHAVEZ
  • NPI Number: 1992836167
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0219995
LAB Type Physician Office
Facility Name MENCHAVEZ PEDIATRICS
Street 915 BISHOP WALSH ROAD
City CUMBERLAND
State MD
ZIP 21502
Phone 301 777-2722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director CELESTINO M. MENCHAVEZ

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