21D1013500 CLIA NUMBER - CORNERSTONE FAMILY MEDICINE SOTIERE SAVOPOULOS MD

Laboratory Demographics

  • CLIA Code: 21D1013500
  • Facility Name: CORNERSTONE FAMILY MEDICINE SOTIERE SAVOPOULOS MD
  • Facility Address: 255 NORTH 4TH STREET STE 1
    OAKLAND, MD
    ZIP 21550
  • Facility Phone: 301 533-1046
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SOTIERE SAVOPOULOS MD
  • NPI Number: 1396780094
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1013500
LAB Type Physician Office
Facility Name CORNERSTONE FAMILY MEDICINE SOTIERE SAVOPOULOS MD
Street 255 NORTH 4TH STREET STE 1
City OAKLAND
State MD
ZIP 21550
Phone 301 533-1046
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 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director SOTIERE SAVOPOULOS MD

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