21D0919497 CLIA NUMBER - CHAN AUNG, MD, PA

Laboratory Demographics

  • CLIA Code: 21D0919497
  • Facility Name: CHAN AUNG, MD, PA
  • Facility Address: 5601 LOCH RAVEN BLVD STE 402
    BALTIMORE, MD
    ZIP 21239
  • Facility Phone: 410 532-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAN AUNG
  • NPI Number: 1043390552
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0919497
LAB Type Physician Office
Facility Name CHAN AUNG, MD, PA
Street 5601 LOCH RAVEN BLVD STE 402
City BALTIMORE
State MD
ZIP 21239
Phone 410 532-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director CHAN AUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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