21D0692078 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D0692078
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES LLC
  • Facility Address: 6410 ROCKLEDGE DRIVE STE 503
    BETHESDA, MD
    ZIP 20817
  • Facility Phone: 443 738-2889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BARTHOLOMEW RADOLINSKI
  • NPI Number: 1063809549
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 21D0692078
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES LLC
Street 6410 ROCKLEDGE DRIVE STE 503
City BETHESDA
State MD
ZIP 20817
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 DR. BARTHOLOMEW RADOLINSKI

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