21D0858332 CLIA NUMBER - LAURA LIEBERMAN MD PA

Laboratory Demographics

  • CLIA Code: 21D0858332
  • Facility Name: LAURA LIEBERMAN MD PA
  • Facility Address: 332 140 VILLAGE ROAD SUITE 1
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 876-9680
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEUN HEE OH
  • NPI Number: 1891754339
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0858332
LAB Type Physician Office
Facility Name LAURA LIEBERMAN MD PA
Street 332 140 VILLAGE ROAD SUITE 1
City WESTMINSTER
State MD
ZIP 21157
Phone 410 876-9680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director KEUN HEE OH

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