21D2144837 CLIA NUMBER - LOVE KIDS, LLC

Laboratory Demographics

  • CLIA Code: 21D2144837
  • Facility Name: LOVE KIDS, LLC
  • Facility Address: 14300 GALLANT FOX LANE #203
    BOWIE, MD
    ZIP 20715
  • Facility Phone: 301 262-4784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YVONNE M. JACKSON MD
  • NPI Number: 1285094094
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2144837
LAB Type Physician Office
Facility Name LOVE KIDS, LLC
Street 14300 GALLANT FOX LANE #203
City BOWIE
State MD
ZIP 20715
Phone 301 262-4784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director YVONNE M. JACKSON MD

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