21D0209653 CLIA NUMBER - JAYARAMAN MEDICAL ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D0209653
  • Facility Name: JAYARAMAN MEDICAL ASSOCIATES LLC
  • Facility Address: 28227 THREE NOTCH ROAD
    MECHANICSVILLE, MD
    ZIP 20659
  • Facility Phone: 301 884-8161
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KRISHNA P. JAYARAMAN MD
  • NPI Number: 1942349816
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D0209653
LAB Type Physician Office
Facility Name JAYARAMAN MEDICAL ASSOCIATES LLC
Street 28227 THREE NOTCH ROAD
City MECHANICSVILLE
State MD
ZIP 20659
Phone 301 884-8161
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KRISHNA P. JAYARAMAN MD

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