21D0916333 CLIA NUMBER - RIVERDALE PARK PEDIATRICS- GLEN BURNIE

Laboratory Demographics

  • CLIA Code: 21D0916333
  • Facility Name: RIVERDALE PARK PEDIATRICS- GLEN BURNIE
  • Facility Address: 202 HOSPITAL DRIVE
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 768-8525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDWIN F. AGUILAR
  • NPI Number: 1427887173
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0916333
LAB Type Physician Office
Facility Name RIVERDALE PARK PEDIATRICS- GLEN BURNIE
Street 202 HOSPITAL DRIVE
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 768-8525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director DR. EDWIN F. AGUILAR

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