21D0924537 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 21D0924537
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES, LLC
  • Facility Address: 10710 CHARTER DRIVE SUITE 130
    COLUMBIA, MD
    ZIP 21044
  • Facility Phone: 410 772-7000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. FRANK NEZU
  • NPI Number: 1265529465
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D0924537
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES, LLC
Street 10710 CHARTER DRIVE SUITE 130
City COLUMBIA
State MD
ZIP 21044
Phone 410 772-7000
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 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director DR. FRANK NEZU

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