21D0215484 CLIA NUMBER - CROFTON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 21D0215484
  • Facility Name: CROFTON FAMILY PRACTICE
  • Facility Address: 1684 VILLAGE GREEN
    CROFTON, MD
    ZIP 21114
  • Facility Phone: 410 721-3822
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ALLISON WILLIAMS
  • NPI Number: 1124531702
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0215484
LAB Type Physician Office
Facility Name CROFTON FAMILY PRACTICE
Street 1684 VILLAGE GREEN
City CROFTON
State MD
ZIP 21114
Phone 410 721-3822
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ALLISON WILLIAMS

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