21D1032145 CLIA NUMBER - CHILDREN'S HOSPITAL ANNE ARUNDEL COUNTY

Laboratory Demographics

  • CLIA Code: 21D1032145
  • Facility Name: CHILDREN'S HOSPITAL ANNE ARUNDEL COUNTY
  • Facility Address: 1730 WEST STREET 1ST FLOOR SUITE 100
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 266-6582
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. NAIDA T. KALLOO
  • NPI Number: 1649923590
  • Taxonomy: 225XP0200X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 21D1032145
LAB Type Physician Office
Facility Name CHILDREN'S HOSPITAL ANNE ARUNDEL COUNTY
Street 1730 WEST STREET 1ST FLOOR SUITE 100
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 266-6582
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 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director DR. NAIDA T. KALLOO

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