21D2056496 CLIA NUMBER - ROSE PEDIATRICS CARE

Laboratory Demographics

  • CLIA Code: 21D2056496
  • Facility Name: ROSE PEDIATRICS CARE
  • Facility Address: 3611 BRANCH AVENUE SUITE 403
    TEMPLE HILLS, MD
    ZIP 20748
  • Facility Phone: 301 899-3337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHINYERE R. AMAZU
  • NPI Number: 1124808241
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2056496
LAB Type Physician Office
Facility Name ROSE PEDIATRICS CARE
Street 3611 BRANCH AVENUE SUITE 403
City TEMPLE HILLS
State MD
ZIP 20748
Phone 301 899-3337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director CHINYERE R. AMAZU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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