21D0216065 CLIA NUMBER - CARROLL PRIMARY CARE PA

Laboratory Demographics

  • CLIA Code: 21D0216065
  • Facility Name: CARROLL PRIMARY CARE PA
  • Facility Address: 912 WASHINGTON ROAD
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 848-4121
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN SIKORSKI MD
  • NPI Number: 1588864557
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0216065
LAB Type Physician Office
Facility Name CARROLL PRIMARY CARE PA
Street 912 WASHINGTON ROAD
City WESTMINSTER
State MD
ZIP 21157
Phone 410 848-4121
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 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director STEPHEN SIKORSKI MD

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