21D0673127 CLIA NUMBER - MARYLAND PEDIATRIC CARE LLC

Laboratory Demographics

  • CLIA Code: 21D0673127
  • Facility Name: MARYLAND PEDIATRIC CARE LLC
  • Facility Address: 19525 & 19527 DOCTORS DRIVE
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 301 424-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIQA S. MALIK MD
  • NPI Number: 1952804783
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0673127
LAB Type Physician Office
Facility Name MARYLAND PEDIATRIC CARE LLC
Street 19525 & 19527 DOCTORS DRIVE
City GERMANTOWN
State MD
ZIP 20874
Phone 301 424-2400
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 ANIQA S. MALIK MD

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