21D2243723 CLIA NUMBER - XPRESS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2243723
  • Facility Name: XPRESS PEDIATRICS
  • Facility Address: 1419 REISTERSTOWN ROAD
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 347 496-5589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAJENDER K. GATTU
  • NPI Number: 1144964156
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2243723
LAB Type Physician Office
Facility Name XPRESS PEDIATRICS
Street 1419 REISTERSTOWN ROAD
City PIKESVILLE
State MD
ZIP 21208
Phone 347 496-5589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director DR. RAJENDER K. GATTU

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