21D2272874 CLIA NUMBER - MEADOWRIDGE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D2272874
  • Facility Name: MEADOWRIDGE PEDIATRICS LLC
  • Facility Address: 6020 MEADOWRIDGE CENTER DR #P1
    ELKRIDGE, MD
    ZIP 21075
  • Facility Phone: 443 492-9466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CELINE P. CHANG
  • NPI Number: 1568109189
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2272874
LAB Type Physician Office
Facility Name MEADOWRIDGE PEDIATRICS LLC
Street 6020 MEADOWRIDGE CENTER DR #P1
City ELKRIDGE
State MD
ZIP 21075
Phone 443 492-9466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director CELINE P. CHANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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