21D0969441 CLIA NUMBER - JULIAN JAKOBOVITS MD LLC

Laboratory Demographics

  • CLIA Code: 21D0969441
  • Facility Name: JULIAN JAKOBOVITS MD LLC
  • Facility Address: 2835 SMITH AVENUE #207
    BALTIMORE, MD
    ZIP 21209
  • Facility Phone: 410 580-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIAN JAKOBOVITS MD
  • NPI Number: 1780615609
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0969441
LAB Type Physician Office
Facility Name JULIAN JAKOBOVITS MD LLC
Street 2835 SMITH AVENUE #207
City BALTIMORE
State MD
ZIP 21209
Phone 410 580-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director JULIAN JAKOBOVITS MD

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