21D1039182 CLIA NUMBER - ANNAPOLIS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D1039182
  • Facility Name: ANNAPOLIS PEDIATRICS
  • Facility Address: 877 BALTIMORE ANNAPOLIS BLVD STE 208
    SEVERNA PARK, MD
    ZIP 21146
  • Facility Phone: 410 263-6363
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KATHERINE EDWARDS
  • NPI Number: 1285717512
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 21D1039182
LAB Type Physician Office
Facility Name ANNAPOLIS PEDIATRICS
Street 877 BALTIMORE ANNAPOLIS BLVD STE 208
City SEVERNA PARK
State MD
ZIP 21146
Phone 410 263-6363
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director KATHERINE EDWARDS

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