21D1082713 CLIA NUMBER - EJEMEH OKOJIE MD PA INC

Laboratory Demographics

  • CLIA Code: 21D1082713
  • Facility Name: EJEMEH OKOJIE MD PA INC
  • Facility Address: 7004 SECURITY BLVD #101
    WINDSOR MILL, MD
    ZIP 21244
  • Facility Phone: 443 436-6033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NGOZI R. AGWUNA
  • NPI Number: 1992135271
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1082713
LAB Type Physician Office
Facility Name EJEMEH OKOJIE MD PA INC
Street 7004 SECURITY BLVD #101
City WINDSOR MILL
State MD
ZIP 21244
Phone 443 436-6033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director DR. NGOZI R. AGWUNA

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