21D2166034 CLIA NUMBER - URBANA PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D2166034
  • Facility Name: URBANA PEDIATRICS LLC
  • Facility Address: 3534 URBANA PIKE SUITE A
    FREDERICK, MD
    ZIP 21704
  • Facility Phone: 301 788-9490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. BURNS
  • NPI Number: 1871050609
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2166034
LAB Type Physician Office
Facility Name URBANA PEDIATRICS LLC
Street 3534 URBANA PIKE SUITE A
City FREDERICK
State MD
ZIP 21704
Phone 301 788-9490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director JENNIFER L. BURNS

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