21D0220365 CLIA NUMBER - INTERNAL MEDICINE ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D0220365
  • Facility Name: INTERNAL MEDICINE ASSOCIATES LLC
  • Facility Address: 122 SPEER ROAD SUITE 5
    CHESTERTOWN, MD
    ZIP 21620
  • Facility Phone: 410 778-7300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HELEN A. NOBLE MD
  • NPI Number: 1245306323
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0220365
LAB Type Physician Office
Facility Name INTERNAL MEDICINE ASSOCIATES LLC
Street 122 SPEER ROAD SUITE 5
City CHESTERTOWN
State MD
ZIP 21620
Phone 410 778-7300
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HELEN A. NOBLE MD

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