21D0915954 CLIA NUMBER - WASIM FAKHAR MD PA

Laboratory Demographics

  • CLIA Code: 21D0915954
  • Facility Name: WASIM FAKHAR MD PA
  • Facility Address: 417 EAST BALTIMORE STREET SUITE D
    TANEYTOWN, MD
    ZIP 21787
  • Facility Phone: 410 876-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WASIM FAKHAR
  • NPI Number: 1033180955
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0915954
LAB Type Physician Office
Facility Name WASIM FAKHAR MD PA
Street 417 EAST BALTIMORE STREET SUITE D
City TANEYTOWN
State MD
ZIP 21787
Phone 410 876-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director DR. WASIM FAKHAR

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