21D1051160 CLIA NUMBER - ARUNDEL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D1051160
  • Facility Name: ARUNDEL PEDIATRICS
  • Facility Address: 605 GLOBAL WAY STE 119
    LINTHICUM, MD
    ZIP 21090
  • Facility Phone: 410 789-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA VICKERS
  • NPI Number: 1265400113
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1051160
LAB Type Physician Office
Facility Name ARUNDEL PEDIATRICS
Street 605 GLOBAL WAY STE 119
City LINTHICUM
State MD
ZIP 21090
Phone 410 789-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director REBECCA VICKERS

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