21D0860364 CLIA NUMBER - PEDIATRICS AT CHARTLEY PA

Laboratory Demographics

  • CLIA Code: 21D0860364
  • Facility Name: PEDIATRICS AT CHARTLEY PA
  • Facility Address: 210 BUSINESS CENTER DRIVE
    REISTERSTOWN, MD
    ZIP 21136
  • Facility Phone: 410 833-2949
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FRANKLIN D. ISRAEL
  • NPI Number: 1659465722
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0860364
LAB Type Physician Office
Facility Name PEDIATRICS AT CHARTLEY PA
Street 210 BUSINESS CENTER DRIVE
City REISTERSTOWN
State MD
ZIP 21136
Phone 410 833-2949
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director FRANKLIN D. ISRAEL

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