21D1020556 CLIA NUMBER - PRESTON FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 21D1020556
  • Facility Name: PRESTON FAMILY PHYSICIANS
  • Facility Address: 3683 CHOPTANK ROAD
    PRESTON, MD
    ZIP 21655
  • Facility Phone: 410 673-1690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY J. SNIEZEK
  • NPI Number: 1558483149
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1020556
LAB Type Physician Office
Facility Name PRESTON FAMILY PHYSICIANS
Street 3683 CHOPTANK ROAD
City PRESTON
State MD
ZIP 21655
Phone 410 673-1690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director TIMOTHY J. SNIEZEK

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