21D0938917 CLIA NUMBER - SALLY HABIB, MD, LLC

Laboratory Demographics

  • CLIA Code: 21D0938917
  • Facility Name: SALLY HABIB, MD, LLC
  • Facility Address: 120 SISTER PIERRE DRIVE #306
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 410 823-0358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALLY HABIB MD
  • NPI Number: 1104255702
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0938917
LAB Type Physician Office
Facility Name SALLY HABIB, MD, LLC
Street 120 SISTER PIERRE DRIVE #306
City TOWSON
State MD
ZIP 21204
Phone 410 823-0358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director SALLY HABIB MD

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