21D2161640 CLIA NUMBER - LOVELIGHT PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D2161640
  • Facility Name: LOVELIGHT PEDIATRICS LLC
  • Facility Address: 607 OAKLAND AVE
    OAKLAND, MD
    ZIP 21550
  • Facility Phone: 301 533-7060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE SISLER
  • NPI Number: 1386117562
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2161640
LAB Type Physician Office
Facility Name LOVELIGHT PEDIATRICS LLC
Street 607 OAKLAND AVE
City OAKLAND
State MD
ZIP 21550
Phone 301 533-7060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director STEPHANIE SISLER

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