21D0915249 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D0915249
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES LLC
  • Facility Address: 3407 WILKENS AVENUE #210
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: 443 738-2889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER S. FILDERMAN MD
  • NPI Number: 1053469510
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D0915249
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES LLC
Street 3407 WILKENS AVENUE #210
City BALTIMORE
State MD
ZIP 21229
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 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director PETER S. FILDERMAN MD

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This page was last updated on: 6/4/2025