21D0220757 CLIA NUMBER - PARTNERS IN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D0220757
  • Facility Name: PARTNERS IN PEDIATRICS
  • Facility Address: 303 WEST MEMORIAL BOULEVARD
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 301 791-7060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHUKWUMEKA U. OBIDI
  • NPI Number: 1851515902
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0220757
LAB Type Physician Office
Facility Name PARTNERS IN PEDIATRICS
Street 303 WEST MEMORIAL BOULEVARD
City HAGERSTOWN
State MD
ZIP 21740
Phone 301 791-7060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director CHUKWUMEKA U. OBIDI

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