21D2319182 CLIA NUMBER - LITTLE OAK PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 21D2319182
  • Facility Name: LITTLE OAK PEDIATRICS, LLC
  • Facility Address: 7652 BELAIR RD #A
    NOTTINGHAM, MD
    ZIP 21236
  • Facility Phone: 443 524-2712
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EMILY A. BURR
  • NPI Number: 1437971413
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2319182
LAB Type Practitioner Other
Facility Name LITTLE OAK PEDIATRICS, LLC
Street 7652 BELAIR RD #A
City NOTTINGHAM
State MD
ZIP 21236
Phone 443 524-2712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Practitioner Other
Lab Director EMILY A. BURR

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