21D0215542 CLIA NUMBER - IRVING D WOLFE MD

Laboratory Demographics

  • CLIA Code: 21D0215542
  • Facility Name: IRVING D WOLFE MD
  • Facility Address: 21 CROSSROADS DR SUITE 255
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 363-2320
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IRVING D. WOLFE MD
  • NPI Number: 1508832346
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D0215542
LAB Type Physician Office
Facility Name IRVING D WOLFE MD
Street 21 CROSSROADS DR SUITE 255
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 363-2320
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 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Physician Office
Lab Director IRVING D. WOLFE MD

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