21D2026489 CLIA NUMBER - PATIENT FIRST - COLUMBIA

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Laboratory Demographics

CLIA Number: 21D2026489

Facility Name: PATIENT FIRST - COLUMBIA

Facility Address:
5900 CEDAR LANE
COLUMBIA, MD
ZIP 21044
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Facility Phone Number: 443 718-4067

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1659659555

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	21D2026489
LAB Type	Physician Office
Facility Name	PATIENT FIRST - COLUMBIA
Street	5900 CEDAR LANE
City	COLUMBIA
State	MD
ZIP	21044
Phone	443 718-4067
CertificateType	2
CertificateEffectiveDate	11/9/2023
CertificateExpirationDate	11/8/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024