21D0978598 CLIA NUMBER - CHESAPEAKE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D0978598
  • Facility Name: CHESAPEAKE PEDIATRICS LLC
  • Facility Address: 121 OLD SOLOMONS ISLAND ROAD
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 224-3663
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORINNE COYNER
  • NPI Number: 1396934816
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0978598
LAB Type Physician Office
Facility Name CHESAPEAKE PEDIATRICS LLC
Street 121 OLD SOLOMONS ISLAND ROAD
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 224-3663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director CORINNE COYNER

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