21D2034502 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 21D2034502
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES, LLC
  • Facility Address: 19851 OBSERVATION DR SUITE 455
    GERMANTOWN, MD
    ZIP 20876
  • Facility Phone: 301 258-9553
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BARTHOLOMEW RADOLINSKI
  • NPI Number: 1578388260
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 21D2034502
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES, LLC
Street 19851 OBSERVATION DR SUITE 455
City GERMANTOWN
State MD
ZIP 20876
Phone 301 258-9553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director DR. BARTHOLOMEW RADOLINSKI

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