21D1072918 CLIA NUMBER - ADVANCED DERMATOLOGY AND COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 21D1072918
  • Facility Name: ADVANCED DERMATOLOGY AND COSMETIC SURGERY
  • Facility Address: 10153 YORK RD, SUITE 104
    COCKEYSVILLE, MD
    ZIP 21030
  • Facility Phone: 410 472-1006
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SOWMYA RAVI
  • NPI Number: 1326232612
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1072918
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Street 10153 YORK RD, SUITE 104
City COCKEYSVILLE
State MD
ZIP 21030
Phone 410 472-1006
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director SOWMYA RAVI

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