21D0675397 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D0675397
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES LLC
  • Facility Address: 1838 GREENE TREE RD #460
    BALTIMORE, MD
    ZIP 21208
  • Facility Phone: 443 738-2889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID SIGMAN MD
  • NPI Number: 1396759254
  • Taxonomy: 261QL0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0675397
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES LLC
Street 1838 GREENE TREE RD #460
City BALTIMORE
State MD
ZIP 21208
Phone 443 738-2889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director DAVID SIGMAN MD

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