21D1022939 CLIA NUMBER - HEALTHSPRING PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D1022939
  • Facility Name: HEALTHSPRING PEDIATRICS
  • Facility Address: 9013 SHADY GROVE COURT
    GAITHERSBURG, MD
    ZIP 20877
  • Facility Phone: 301 977-0082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE Y. LE
  • NPI Number: 1093857856
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1022939
LAB Type Physician Office
Facility Name HEALTHSPRING PEDIATRICS
Street 9013 SHADY GROVE COURT
City GAITHERSBURG
State MD
ZIP 20877
Phone 301 977-0082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director JACQUELINE Y. LE

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