21D0014512 CLIA NUMBER - UPPER CHESAPEAKE MEDICAL CENTER BG LAB

Laboratory Demographics

  • CLIA Code: 21D0014512
  • Facility Name: UPPER CHESAPEAKE MEDICAL CENTER BG LAB
  • Facility Address: 500 UPPER CHESAPEAKE DRIVE
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 443 643-2848
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: DR. HASAN SHAKOOR
  • NPI Number: 1285771998
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0014512
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UPPER CHESAPEAKE MEDICAL CENTER BG LAB
Street 500 UPPER CHESAPEAKE DRIVE
City BEL AIR
State MD
ZIP 21014
Phone 443 643-2848
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. HASAN SHAKOOR

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