21D0997973 CLIA NUMBER - DEERFIELD OF ANNAPOLIS

Laboratory Demographics

  • CLIA Code: 21D0997973
  • Facility Name: DEERFIELD OF ANNAPOLIS
  • Facility Address: 2525 RIVA ROAD STE 100
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 573-9100
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PATRICIA JETT
  • NPI Number: 1336280650
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0997973
LAB Type Other
Facility Name DEERFIELD OF ANNAPOLIS
Street 2525 RIVA ROAD STE 100
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 573-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Other
Lab Director PATRICIA JETT

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