21D0943513 CLIA NUMBER - LIFEBRIDGE PEDIATRICIANS OF FOREST HILL

Laboratory Demographics

  • CLIA Code: 21D0943513
  • Facility Name: LIFEBRIDGE PEDIATRICIANS OF FOREST HILL
  • Facility Address: 2003 ROCK SPRING ROAD
    FOREST HILL, MD
    ZIP 21050
  • Facility Phone: 410 420-0620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN W. DANNENFELSER MD
  • NPI Number: 1962756189
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0943513
LAB Type Physician Office
Facility Name LIFEBRIDGE PEDIATRICIANS OF FOREST HILL
Street 2003 ROCK SPRING ROAD
City FOREST HILL
State MD
ZIP 21050
Phone 410 420-0620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director STEVEN W. DANNENFELSER MD

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