CLIA lab

CLIA 21D0932358: Pediatric Place

Pasadena, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D0932358 belongs to Pediatric Place in Pasadena, MD.

Certificate of Waiver, effective August 19, 2025, expires August 18, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 19, 2025
Certificate expiration
August 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 19, 1997
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
21D0932358
Lab name
Pediatric Place
Address
3100 Mountain Road Suite E, Pasadena, MD 21122
Phone
(410) 360-4446
Fax
(410) 360-4449

Annual test volume the lab reported

Waived tests
3,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Pediatric Place in Pasadena?

21D0932358, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Place hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D0932358 expire?

The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.

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