21D2002123 CLIA NUMBER - KIDSCARE HOME HEALTH OF MARYLAND, LLC

Laboratory Demographics

  • CLIA Code: 21D2002123
  • Facility Name: KIDSCARE HOME HEALTH OF MARYLAND, LLC
  • Facility Address: 1122 KENILWORTH DRIVE #501A
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 703 679-7837
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DUSTIN REEVES
  • NPI Number: 1245604834
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2002123
LAB Type Home Health Agency
Facility Name KIDSCARE HOME HEALTH OF MARYLAND, LLC
Street 1122 KENILWORTH DRIVE #501A
City TOWSON
State MD
ZIP 21204
Phone 703 679-7837
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Home Health Agency
Lab Director DUSTIN REEVES

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