39D2086434 CLIA NUMBER - PEDIATRICS 21, LLC

Laboratory Demographics

  • CLIA Code: 39D2086434
  • Facility Name: PEDIATRICS 21, LLC
  • Facility Address: 670 NORTH RIVER STREET SUITE 207
    PLAINS, PA
    ZIP 18705
  • Facility Phone: 540 270-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AZRA M. SEHIC MD
  • NPI Number: 1194134304
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D2086434
LAB Type Physician Office
Facility Name PEDIATRICS 21, LLC
Street 670 NORTH RIVER STREET SUITE 207
City PLAINS
State PA
ZIP 18705
Phone 540 270-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director DR. AZRA M. SEHIC MD

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