21D2124073 CLIA NUMBER - CHILDRENS PEDIATRICIANS & ASSOC- CLINTON

Laboratory Demographics

  • CLIA Code: 21D2124073
  • Facility Name: CHILDRENS PEDIATRICIANS & ASSOC- CLINTON
  • Facility Address: 9131 PISCATAWAY RD #700
    CLINTON, MD
    ZIP 20735
  • Facility Phone: 301 599-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH A. MOCCIA
  • NPI Number: 1619781499
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2124073
LAB Type Physician Office
Facility Name CHILDRENS PEDIATRICIANS & ASSOC- CLINTON
Street 9131 PISCATAWAY RD #700
City CLINTON
State MD
ZIP 20735
Phone 301 599-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director DR. ELIZABETH A. MOCCIA

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