21D2259670 CLIA NUMBER - LINTHICUM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2259670
  • Facility Name: LINTHICUM PEDIATRICS
  • Facility Address: 605 GLOBAL WAY #119
    LINTHICUM, MD
    ZIP 21090
  • Facility Phone: 410 789-0304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NADIA ANSARI
  • NPI Number: 1861132342
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2259670
LAB Type Physician Office
Facility Name LINTHICUM PEDIATRICS
Street 605 GLOBAL WAY #119
City LINTHICUM
State MD
ZIP 21090
Phone 410 789-0304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director DR. NADIA ANSARI

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