21D1079898 CLIA NUMBER - SUNSHINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D1079898
  • Facility Name: SUNSHINE PEDIATRICS
  • Facility Address: 10750 COLUMBIA PIKE #502
    SILVER SPRING, MD
    ZIP 20901
  • Facility Phone: 301 593-5440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAIYA CLARK
  • NPI Number: 1760668081
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1079898
LAB Type Physician Office
Facility Name SUNSHINE PEDIATRICS
Street 10750 COLUMBIA PIKE #502
City SILVER SPRING
State MD
ZIP 20901
Phone 301 593-5440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director MAIYA CLARK

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