21D0687437 CLIA NUMBER - CALVERT COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 21D0687437
  • Facility Name: CALVERT COUNTY HEALTH DEPARTMENT
  • Facility Address: 975 SOLOMONS ISLAND ROAD NORTH
    PRINCE FREDERICK, MD
    ZIP 20678
  • Facility Phone: 410 535-5400
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: LAURENCE B. POLSKY MD
  • NPI Number: 1306114103
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 21D0687437
LAB Type Other
Facility Name CALVERT COUNTY HEALTH DEPARTMENT
Street 975 SOLOMONS ISLAND ROAD NORTH
City PRINCE FREDERICK
State MD
ZIP 20678
Phone 410 535-5400
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 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Other
Lab Director LAURENCE B. POLSKY MD

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