21D0676436 CLIA NUMBER - WILLIAM D MCCONNELL MD

Laboratory Demographics

  • CLIA Code: 21D0676436
  • Facility Name: WILLIAM D MCCONNELL MD
  • Facility Address: 6301 N CHARLES ST SUITE 5
    BALTIMORE, MD
    ZIP 21212
  • Facility Phone: 410 372-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. MCCONNELL MD
  • NPI Number: 1548215205
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0676436
LAB Type Physician Office
Facility Name WILLIAM D MCCONNELL MD
Street 6301 N CHARLES ST SUITE 5
City BALTIMORE
State MD
ZIP 21212
Phone 410 372-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director WILLIAM D. MCCONNELL MD

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