21D1025116 CLIA NUMBER - CHESAPEAKE RESEARCH GROUP

Laboratory Demographics

  • CLIA Code: 21D1025116
  • Facility Name: CHESAPEAKE RESEARCH GROUP
  • Facility Address: 8030-B RITCHIE HWY
    PASADENA, MD
    ZIP 21122
  • Facility Phone: 410 768-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRA J. GOTTLIEB DPM
  • NPI Number: 1992845283
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1025116
LAB Type Physician Office
Facility Name CHESAPEAKE RESEARCH GROUP
Street 8030-B RITCHIE HWY
City PASADENA
State MD
ZIP 21122
Phone 410 768-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director IRA J. GOTTLIEB DPM

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