21D0895280 CLIA NUMBER - WALDORF PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D0895280
  • Facility Name: WALDORF PEDIATRICS LLC
  • Facility Address: 4255 ATTAMONT PL SUITE 301
    WHITE PLAINS, MD
    ZIP 20695
  • Facility Phone: 301 645-1781
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SAMMIR PEREZ
  • NPI Number: 1710237037
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0895280
LAB Type Physician Office
Facility Name WALDORF PEDIATRICS LLC
Street 4255 ATTAMONT PL SUITE 301
City WHITE PLAINS
State MD
ZIP 20695
Phone 301 645-1781
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 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director SAMMIR PEREZ

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