21D0684813 CLIA NUMBER - CLINICAL ASSOCIATES REISTERSTOWN

Laboratory Demographics

  • CLIA Code: 21D0684813
  • Facility Name: CLINICAL ASSOCIATES REISTERSTOWN
  • Facility Address: 120 WESTMINSTER PIKE #104 &106
    REISTERSTOWN, MD
    ZIP 21136
  • Facility Phone: 410 526-7800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LINDSEY L. THATTASSERY
  • NPI Number: 1376054452
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 21D0684813
LAB Type Physician Office
Facility Name CLINICAL ASSOCIATES REISTERSTOWN
Street 120 WESTMINSTER PIKE #104 &106
City REISTERSTOWN
State MD
ZIP 21136
Phone 410 526-7800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director DR. LINDSEY L. THATTASSERY

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