21D1020718 CLIA NUMBER - SAMUEL R WILLIAMS MD PA

Laboratory Demographics

  • CLIA Code: 21D1020718
  • Facility Name: SAMUEL R WILLIAMS MD PA
  • Facility Address: 5707 CALVERTON STREET STE 1B
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 788-2350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL R. WILLIAMS
  • NPI Number: 1568446599
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1020718
LAB Type Physician Office
Facility Name SAMUEL R WILLIAMS MD PA
Street 5707 CALVERTON STREET STE 1B
City CATONSVILLE
State MD
ZIP 21228
Phone 410 788-2350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director SAMUEL R. WILLIAMS

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