21D0967068 CLIA NUMBER - BENJAMIN S LEE MD PA

Laboratory Demographics

  • CLIA Code: 21D0967068
  • Facility Name: BENJAMIN S LEE MD PA
  • Facility Address: 700 GEIPE ROAD STE 204
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 744-7184
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMINN S. LEE MD PA
  • NPI Number: 1730156746
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0967068
LAB Type Physician Office
Facility Name BENJAMIN S LEE MD PA
Street 700 GEIPE ROAD STE 204
City CATONSVILLE
State MD
ZIP 21228
Phone 410 744-7184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director BENJAMINN S. LEE MD PA

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