21D1039406 CLIA NUMBER - CLINICAL ASSOCIATES TOWSON

Laboratory Demographics

  • CLIA Code: 21D1039406
  • Facility Name: CLINICAL ASSOCIATES TOWSON
  • Facility Address: 515 FAIRMOUNT AVENUE STE 340
    TOWSON, MD
    ZIP 21286
  • Facility Phone: 410 769-6269
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LISE SATTERFIELD
  • NPI Number: 1437660511
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1039406
LAB Type Physician Office
Facility Name CLINICAL ASSOCIATES TOWSON
Street 515 FAIRMOUNT AVENUE STE 340
City TOWSON
State MD
ZIP 21286
Phone 410 769-6269
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 9/15/2023
Certificate Expiration Date 9/14/2025
Facility Type Physician Office
Lab Director DR. LISE SATTERFIELD

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This page was last updated on: 6/4/2025