21D0901931 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 21D0901931
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES, LLC
  • Facility Address: 12435 PARK POTOMAC STREET, #400
    POTOMAC, MD
    ZIP 20854
  • Facility Phone: 443 738-2889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BARTHOLOMEW RADOLINSKI
  • NPI Number: 1487479077
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 21D0901931
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES, LLC
Street 12435 PARK POTOMAC STREET, #400
City POTOMAC
State MD
ZIP 20854
Phone 443 738-2889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director DR. BARTHOLOMEW RADOLINSKI

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