21D1075629 CLIA NUMBER - PADDER HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 21D1075629
  • Facility Name: PADDER HEALTH SERVICES
  • Facility Address: 9710 PATUXENT WOODS DRIVE SUITE 100
    COLUMBIA, MD
    ZIP 21046
  • Facility Phone: 301 560-4747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENDRA K. KAY
  • NPI Number: 1073329595
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1075629
LAB Type Physician Office
Facility Name PADDER HEALTH SERVICES
Street 9710 PATUXENT WOODS DRIVE SUITE 100
City COLUMBIA
State MD
ZIP 21046
Phone 301 560-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director KENDRA K. KAY

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