21D1014089 CLIA NUMBER - JOSEPH BERK MD

Laboratory Demographics

  • CLIA Code: 21D1014089
  • Facility Name: JOSEPH BERK MD
  • Facility Address: 9199 REISTERSTOWN ROAD 207A
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 654-4525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH BERK
  • NPI Number: 1760448187
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1014089
LAB Type Physician Office
Facility Name JOSEPH BERK MD
Street 9199 REISTERSTOWN ROAD 207A
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 654-4525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director JOSEPH BERK

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