21D1093101 CLIA NUMBER - JAHANGIR M KHAN

Laboratory Demographics

  • CLIA Code: 21D1093101
  • Facility Name: JAHANGIR M KHAN
  • Facility Address: 9114 PHILADELPHIA ROAD STE 304
    ROSEDALE, MD
    ZIP 21237
  • Facility Phone: 410 335-0008
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ADNAN R. KHAN
  • NPI Number: 1154353027
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1093101
LAB Type Physician Office
Facility Name JAHANGIR M KHAN
Street 9114 PHILADELPHIA ROAD STE 304
City ROSEDALE
State MD
ZIP 21237
Phone 410 335-0008
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Physician Office
Lab Director ADNAN R. KHAN

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