21D0718565 CLIA NUMBER - THEODORE C HOUK MD

Laboratory Demographics

  • CLIA Code: 21D0718565
  • Facility Name: THEODORE C HOUK MD
  • Facility Address: 7402 YORK ROAD #301
    TOWSON, MD
    ZIP 21204
  • Facility Phone: (410) 296-5200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THEODORE C. HOUK
  • NPI Number: 1154412526
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0718565
LAB Type Physician Office
Facility Name THEODORE C HOUK MD
Street 7402 YORK ROAD #301
City TOWSON
State MD
ZIP 21204
Phone 4102965200
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director THEODORE C. HOUK

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