21D0722525 CLIA NUMBER - MOHSIN ANSARI MD FAAP PC

Laboratory Demographics

  • CLIA Code: 21D0722525
  • Facility Name: MOHSIN ANSARI MD FAAP PC
  • Facility Address: 606 SOUTH SCHUMAKER DR UNIT A
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 742-2255
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOHSIN ANSARI MD
  • NPI Number: 1184689887
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0722525
LAB Type Physician Office
Facility Name MOHSIN ANSARI MD FAAP PC
Street 606 SOUTH SCHUMAKER DR UNIT A
City SALISBURY
State MD
ZIP 21804
Phone 410 742-2255
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 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director MOHSIN ANSARI MD

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This page was last updated on: 3/20/2025