21D2177190 CLIA NUMBER - LAUREL CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 21D2177190
  • Facility Name: LAUREL CHILDRENS CLINIC
  • Facility Address: 13976 BALTIMORE AVE
    LAUREL, MD
    ZIP 20709
  • Facility Phone: 301 776-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NITIN CHOPDE
  • NPI Number: 1831328970
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2177190
LAB Type Physician Office
Facility Name LAUREL CHILDRENS CLINIC
Street 13976 BALTIMORE AVE
City LAUREL
State MD
ZIP 20709
Phone 301 776-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Physician Office
Lab Director NITIN CHOPDE

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