21D0669876 CLIA NUMBER - YOUN AND MANNAN LLC

Laboratory Demographics

  • CLIA Code: 21D0669876
  • Facility Name: YOUN AND MANNAN LLC
  • Facility Address: 1410 CRAIN HWY UNIT 5 A
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 761-1424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOUNG J. YOUN MD
  • NPI Number: 1275560732
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0669876
LAB Type Physician Office
Facility Name YOUN AND MANNAN LLC
Street 1410 CRAIN HWY UNIT 5 A
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 761-1424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director YOUNG J. YOUN MD

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