21D1044489 CLIA NUMBER - JEFFREY S ALEXANDER MD PA

Laboratory Demographics

  • CLIA Code: 21D1044489
  • Facility Name: JEFFREY S ALEXANDER MD PA
  • Facility Address: 120 SISTER PIERRE DRIVE STE 101
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 443 901-0301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. ALEXANDER
  • NPI Number: 1659479178
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1044489
LAB Type Physician Office
Facility Name JEFFREY S ALEXANDER MD PA
Street 120 SISTER PIERRE DRIVE STE 101
City TOWSON
State MD
ZIP 21204
Phone 443 901-0301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director JEFFREY S. ALEXANDER

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