21D1008508 CLIA NUMBER - JOSEPH T PALLAN MD PA

Laboratory Demographics

  • CLIA Code: 21D1008508
  • Facility Name: JOSEPH T PALLAN MD PA
  • Facility Address: 1205 YORK ROAD STE 30
    LUTHERVILLE, MD
    ZIP 21093
  • Facility Phone: 410 321-6669
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH T. PALLAN
  • NPI Number: 1336217223
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1008508
LAB Type Physician Office
Facility Name JOSEPH T PALLAN MD PA
Street 1205 YORK ROAD STE 30
City LUTHERVILLE
State MD
ZIP 21093
Phone 410 321-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director JOSEPH T. PALLAN

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