21D1068759 CLIA NUMBER - RETINA SPECIALISTS

Laboratory Demographics

  • CLIA Code: 21D1068759
  • Facility Name: RETINA SPECIALISTS
  • Facility Address: 6569 N CHARLES STREET SUITE 605
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 410 296-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN T. THOMPSON MD
  • NPI Number: 1558608786
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D1068759
LAB Type Physician Office
Facility Name RETINA SPECIALISTS
Street 6569 N CHARLES STREET SUITE 605
City TOWSON
State MD
ZIP 21204
Phone 410 296-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director JOHN T. THOMPSON MD

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