21D2048185 CLIA NUMBER - INTERNATIONAL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2048185
  • Facility Name: INTERNATIONAL PEDIATRICS
  • Facility Address: 501 N FREDERICK AVENUE STE 212
    GAITHERSBURG, MD
    ZIP 20877
  • Facility Phone: 240 290-1041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSE M. ORTEGA
  • NPI Number: 1225849078
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2048185
LAB Type Physician Office
Facility Name INTERNATIONAL PEDIATRICS
Street 501 N FREDERICK AVENUE STE 212
City GAITHERSBURG
State MD
ZIP 20877
Phone 240 290-1041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director DR. JOSE M. ORTEGA

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