21D0214251 CLIA NUMBER - MARYLAND LASER SKIN AND VEIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 21D0214251
  • Facility Name: MARYLAND LASER SKIN AND VEIN INSTITUTE
  • Facility Address: 54 SCOTT ADAM RD SUITE 301
    HUNT VALLEY, MD
    ZIP 21030
  • Facility Phone: 410 666-3960
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAREN BEASLEY MD
  • NPI Number: 1215952130
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D0214251
LAB Type Physician Office
Facility Name MARYLAND LASER SKIN AND VEIN INSTITUTE
Street 54 SCOTT ADAM RD SUITE 301
City HUNT VALLEY
State MD
ZIP 21030
Phone 410 666-3960
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 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director KAREN BEASLEY MD

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