21D1004037 CLIA NUMBER - SCS LLC DBA BAY SHORE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D1004037
  • Facility Name: SCS LLC DBA BAY SHORE PEDIATRICS
  • Facility Address: 130 HOSPITAL RD STE 207
    PRINCE FREDERICK, MD
    ZIP 20678
  • Facility Phone: 410 535-5959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SKOLNICK MD
  • NPI Number: 1417179771
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1004037
LAB Type Physician Office
Facility Name SCS LLC DBA BAY SHORE PEDIATRICS
Street 130 HOSPITAL RD STE 207
City PRINCE FREDERICK
State MD
ZIP 20678
Phone 410 535-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director MICHAEL A. SKOLNICK MD

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