21D0224972 CLIA NUMBER - ANNAPOLIS DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D0224972
  • Facility Name: ANNAPOLIS DERMATOLOGY ASSOCIATES
  • Facility Address: 2002 MEDICAL PARKWAY STE 630
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 224-2260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALICE HE
  • NPI Number: 1306820626
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D0224972
LAB Type Physician Office
Facility Name ANNAPOLIS DERMATOLOGY ASSOCIATES
Street 2002 MEDICAL PARKWAY STE 630
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 224-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director DR. ALICE HE

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