21D1031229 CLIA NUMBER - JOSEPH ANGELO MD LLC

Laboratory Demographics

  • CLIA Code: 21D1031229
  • Facility Name: JOSEPH ANGELO MD LLC
  • Facility Address: 208 PLUMTREE ROAD SUITE D
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 410 588-5681
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH ANGELO
  • NPI Number: 1740351147
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1031229
LAB Type Physician Office
Facility Name JOSEPH ANGELO MD LLC
Street 208 PLUMTREE ROAD SUITE D
City BEL AIR
State MD
ZIP 21015
Phone 410 588-5681
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director JOSEPH ANGELO

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