21D0716819 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 21D0716819
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES PA
  • Facility Address: 6820 HOSPITAL DRIVE, SUITE 210
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: (410) 391-6131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL ARRISON MD
  • NPI Number: 1437354545
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D0716819
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES PA
Street 6820 HOSPITAL DRIVE, SUITE 210
City BALTIMORE
State MD
ZIP 21237
Phone 4103916131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2026
Certificate Expiration Date 2/29/2028
Facility Type Physician Office
Lab Director DANIEL ARRISON MD

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This page was last updated on: 5/18/2026