21D1095944 CLIA NUMBER - BALA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 21D1095944
  • Facility Name: BALA FAMILY PRACTICE
  • Facility Address: 2021-B EMMORTON RD, SUITE 210
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 410 569-1001
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SUZANA RADULOVICH
  • NPI Number: 1386898443
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1095944
LAB Type Physician Office
Facility Name BALA FAMILY PRACTICE
Street 2021-B EMMORTON RD, SUITE 210
City BEL AIR
State MD
ZIP 21015
Phone 410 569-1001
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 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director DR. SUZANA RADULOVICH

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