21D0217593 CLIA NUMBER - VILLAGE OB/GYN ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 21D0217593
  • Facility Name: VILLAGE OB/GYN ASSOCIATES, LLC
  • Facility Address: 37 WALKER AVENUE
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 653-6500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARC LOWEN MD
  • NPI Number: 1407801400
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D0217593
LAB Type Physician Office
Facility Name VILLAGE OB/GYN ASSOCIATES, LLC
Street 37 WALKER AVENUE
City PIKESVILLE
State MD
ZIP 21208
Phone 410 653-6500
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 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director MARC LOWEN MD

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