21D2014125 CLIA NUMBER - PODIATRY ASSOCIATES, ASC

Laboratory Demographics

  • CLIA Code: 21D2014125
  • Facility Name: PODIATRY ASSOCIATES, ASC
  • Facility Address: 1 NORTH MAIN STREET
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 410 879-1763
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT E. WOODBURN
  • NPI Number: 1487879938
  • Taxonomy: 213EP1101X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2014125
LAB Type Ambulatory Surgery Center
Facility Name PODIATRY ASSOCIATES, ASC
Street 1 NORTH MAIN STREET
City BEL AIR
State MD
ZIP 21014
Phone 410 879-1763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SCOTT E. WOODBURN

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