21D1071789 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D1071789
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES LLC
  • Facility Address: 21 CROSSROADS DRIVE SUITE 200
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 443 738-2889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID SIGMAN MD
  • NPI Number: 1043719123
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 21D1071789
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES LLC
Street 21 CROSSROADS DRIVE SUITE 200
City OWINGS MILLS
State MD
ZIP 21117
Phone 443 738-2889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director DAVID SIGMAN MD

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