21D0649789 CLIA NUMBER - KENNEDY KRIEGER GENETICS LABORATORY

Laboratory Demographics

  • CLIA Code: 21D0649789
  • Facility Name: KENNEDY KRIEGER GENETICS LABORATORY
  • Facility Address: 707 NORTH BROADWAY
    BALTIMORE, MD
    ZIP 21205
  • Facility Phone: 443 923-2788
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. LISA E. KRATZ
  • NPI Number: 1871515783
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0649789
LAB Type Hospital
Facility Name KENNEDY KRIEGER GENETICS LABORATORY
Street 707 NORTH BROADWAY
City BALTIMORE
State MD
ZIP 21205
Phone 443 923-2788
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Hospital
Lab Director DR. LISA E. KRATZ

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