21D0896228 CLIA NUMBER - CARROLL PRIMARY CARE PA

Laboratory Demographics

  • CLIA Code: 21D0896228
  • Facility Name: CARROLL PRIMARY CARE PA
  • Facility Address: 1380 PROGRESS WAY SUITE 114
    ELDERSBURG, MD
    ZIP 21784
  • Facility Phone: 410 795-2233
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. STEPHEN SIKORSKI
  • NPI Number: 1427189174
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0896228
LAB Type Physician Office
Facility Name CARROLL PRIMARY CARE PA
Street 1380 PROGRESS WAY SUITE 114
City ELDERSBURG
State MD
ZIP 21784
Phone 410 795-2233
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 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director DR. STEPHEN SIKORSKI

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