21D2291472 CLIA NUMBER - STAR CHOICE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2291472
  • Facility Name: STAR CHOICE PEDIATRICS
  • Facility Address: 6785 BUSINESS PKWY #101-102
    ELKRIDGE, MD
    ZIP 21075
  • Facility Phone: 240 247-2422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ARIELA S. TAUB
  • NPI Number: 1063199123
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2291472
LAB Type Physician Office
Facility Name STAR CHOICE PEDIATRICS
Street 6785 BUSINESS PKWY #101-102
City ELKRIDGE
State MD
ZIP 21075
Phone 240 247-2422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director DR. ARIELA S. TAUB

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