21D2005136 CLIA NUMBER - PIKESVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2005136
  • Facility Name: PIKESVILLE PEDIATRICS
  • Facility Address: 19 WALKER AVE, SUITE 202
    BALTIMORE, MD
    ZIP 21208
  • Facility Phone: 410 580-1220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELENA BALAKIRSKY
  • NPI Number: 1023502838
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2005136
LAB Type Physician Office
Facility Name PIKESVILLE PEDIATRICS
Street 19 WALKER AVE, SUITE 202
City BALTIMORE
State MD
ZIP 21208
Phone 410 580-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director ELENA BALAKIRSKY

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