21D0215493 CLIA NUMBER - STEPHAN C KURYLAS MD

Laboratory Demographics

CLIA Number: 21D0215493

Facility Name: STEPHAN C KURYLAS MD

Facility Address:
2191 DEFENSE HWY
CROFTON, MD
ZIP 21114
Get Directions

Facility Phone Number: 410 721-2422

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407883903

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	12/5/2022
CertificateExpirationDate	12/4/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024