21D1020565 CLIA NUMBER - MOUNT WASHINGTON PEDIATRIC HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 21D1020565
  • Facility Name: MOUNT WASHINGTON PEDIATRIC HOSPITAL LABORATORY
  • Facility Address: 1708 W ROGERS AVE
    BALTIMORE, MD
    ZIP 21209
  • Facility Phone: (410) 578-5255
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL T. O'MALLEY

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CLIA Record

Field Name Field Value
CLIA Number 21D1020565
LAB Type Hospital
Facility Name MOUNT WASHINGTON PEDIATRIC HOSPITAL LABORATORY
Street 1708 W ROGERS AVE
City BALTIMORE
State MD
ZIP 21209
Phone 4105785255
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Hospital
Lab Director DR. MICHAEL T. O'MALLEY

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This page was last updated on: 5/18/2026