21D0215493 CLIA NUMBER - STEPHAN C KURYLAS MD

Laboratory Demographics

  • CLIA Code: 21D0215493
  • Facility Name: STEPHAN C KURYLAS MD
  • Facility Address: 2191 DEFENSE HWY
    CROFTON, MD
    ZIP 21114
  • Facility Phone: 410 721-2422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHAN C. KURYLAS
  • NPI Number: 1407883903
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0215493
LAB Type Physician Office
Facility Name STEPHAN C KURYLAS MD
Street 2191 DEFENSE HWY
City CROFTON
State MD
ZIP 21114
Phone 410 721-2422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director STEPHAN C. KURYLAS

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