21D0968631 CLIA NUMBER - CAMBRIDGE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D0968631
  • Facility Name: CAMBRIDGE PEDIATRICS LLC
  • Facility Address: 3500 OLD WASHINGTON ROAD #101
    WALDORF, MD
    ZIP 20602
  • Facility Phone: 301 645-1133
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MINAXI SHAH
  • NPI Number: 1154462943
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0968631
LAB Type Physician Office
Facility Name CAMBRIDGE PEDIATRICS LLC
Street 3500 OLD WASHINGTON ROAD #101
City WALDORF
State MD
ZIP 20602
Phone 301 645-1133
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director MINAXI SHAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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