21D1046636 CLIA NUMBER - FOREST HILL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D1046636
  • Facility Name: FOREST HILL PEDIATRICS
  • Facility Address: 2005 ROCKSPRING ROAD STE 1
    FOREST HILL, MD
    ZIP 21050
  • Facility Phone: 410 420-1743
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRACE KOBOSINGYE MD
  • NPI Number: 1710174115
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1046636
LAB Type Physician Office
Facility Name FOREST HILL PEDIATRICS
Street 2005 ROCKSPRING ROAD STE 1
City FOREST HILL
State MD
ZIP 21050
Phone 410 420-1743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director GRACE KOBOSINGYE MD

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