21D1019527 CLIA NUMBER - DENNIS ODIE MD

Laboratory Demographics

  • CLIA Code: 21D1019527
  • Facility Name: DENNIS ODIE MD
  • Facility Address: 9106 PHILADELPHIA ROAD STE 200
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: 410 780-1980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS H. ODIE
  • NPI Number: 1578593273
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1019527
LAB Type Physician Office
Facility Name DENNIS ODIE MD
Street 9106 PHILADELPHIA ROAD STE 200
City BALTIMORE
State MD
ZIP 21237
Phone 410 780-1980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DENNIS H. ODIE

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