21D0919504 CLIA NUMBER - SETON MEDICAL GROUP AT ELKRIDGE

Laboratory Demographics

  • CLIA Code: 21D0919504
  • Facility Name: SETON MEDICAL GROUP AT ELKRIDGE
  • Facility Address: 6518 MEADOWRIDGE ROAD SUITE 110
    ELKRIDGE, MD
    ZIP 21075
  • Facility Phone: 667 234-8650
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARY R. RIFINO MD
  • NPI Number: 1083434617
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0919504
LAB Type Physician Office
Facility Name SETON MEDICAL GROUP AT ELKRIDGE
Street 6518 MEADOWRIDGE ROAD SUITE 110
City ELKRIDGE
State MD
ZIP 21075
Phone 667 234-8650
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director MARY R. RIFINO MD

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