21D0697479 CLIA NUMBER - MEDPEDS LLC

Laboratory Demographics

  • CLIA Code: 21D0697479
  • Facility Name: MEDPEDS LLC
  • Facility Address: 7350 VAN DUSEN RD SUITE 110
    LAUREL, MD
    ZIP 20707
  • Facility Phone: 301 498-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA DUNCAN
  • NPI Number: 1093838609
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0697479
LAB Type Physician Office
Facility Name MEDPEDS LLC
Street 7350 VAN DUSEN RD SUITE 110
City LAUREL
State MD
ZIP 20707
Phone 301 498-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director ANGELA DUNCAN

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This page was last updated on: 3/20/2025