21D0649765 CLIA NUMBER - ORAL PATHOLOGY CONSULTANTS

Laboratory Demographics

  • CLIA Code: 21D0649765
  • Facility Name: ORAL PATHOLOGY CONSULTANTS
  • Facility Address: 650 WEST BALTIMORE STREET 7 NORTH
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 410 706-7937
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN R. BASILE
  • NPI Number: 1316021355
  • Taxonomy: 1223P0106X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 21D0649765
LAB Type Independent
Facility Name ORAL PATHOLOGY CONSULTANTS
Street 650 WEST BALTIMORE STREET 7 NORTH
City BALTIMORE
State MD
ZIP 21201
Phone 410 706-7937
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Independent
Lab Director JOHN R. BASILE

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