21D0998131 CLIA NUMBER - DIAA Y MIKHAIL MD PA

Laboratory Demographics

  • CLIA Code: 21D0998131
  • Facility Name: DIAA Y MIKHAIL MD PA
  • Facility Address: 1005 NORTH POINT BLVD STE 708
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 410 288-5901
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DIAA Y. MIKHAIL
  • NPI Number: 1558391227
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0998131
LAB Type Physician Office
Facility Name DIAA Y MIKHAIL MD PA
Street 1005 NORTH POINT BLVD STE 708
City BALTIMORE
State MD
ZIP 21224
Phone 410 288-5901
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 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director DIAA Y. MIKHAIL

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