21D0907323 CLIA NUMBER - MAHWISH KHURRAM MD PA

Laboratory Demographics

  • CLIA Code: 21D0907323
  • Facility Name: MAHWISH KHURRAM MD PA
  • Facility Address: 9106 PHILADELPHIA ROAD STE 204
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: 410 687-8777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHWISH S. KHURRAM
  • NPI Number: 1710088588
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0907323
LAB Type Physician Office
Facility Name MAHWISH KHURRAM MD PA
Street 9106 PHILADELPHIA ROAD STE 204
City BALTIMORE
State MD
ZIP 21237
Phone 410 687-8777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Physician Office
Lab Director MAHWISH S. KHURRAM

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