21D2162131 CLIA NUMBER - KINDER HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 21D2162131
  • Facility Name: KINDER HEALTH, LLC
  • Facility Address: 175 W OSTERD STREET STE 102
    BALTIMORE, MD
    ZIP 21230
  • Facility Phone: 410 697-5357
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ODUNLADE OLALERE
  • NPI Number: 1396237673
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2162131
LAB Type Physician Office
Facility Name KINDER HEALTH, LLC
Street 175 W OSTERD STREET STE 102
City BALTIMORE
State MD
ZIP 21230
Phone 410 697-5357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director ODUNLADE OLALERE

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