21D1107685 CLIA NUMBER - CALVERT DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 21D1107685
  • Facility Name: CALVERT DERMATOLOGY LLC
  • Facility Address: 130 HOSPITAL ROAD STE 200
    PRINCE FREDERICK, MD
    ZIP 20678
  • Facility Phone: 410 535-4561
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FARIS I. HAWIT MD
  • NPI Number: 1295875763
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D1107685
LAB Type Physician Office
Facility Name CALVERT DERMATOLOGY LLC
Street 130 HOSPITAL ROAD STE 200
City PRINCE FREDERICK
State MD
ZIP 20678
Phone 410 535-4561
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 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director FARIS I. HAWIT MD

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