21D2034510 CLIA NUMBER - UMSJMG- INTERNAL MEDICINE SUITE 406

Laboratory Demographics

  • CLIA Code: 21D2034510
  • Facility Name: UMSJMG- INTERNAL MEDICINE SUITE 406
  • Facility Address: 7505 OSLER DRIVE STE 406
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 410 560-6199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JULIE A. COLODONATO
  • NPI Number: 1124191093
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 21D2034510
LAB Type Physician Office
Facility Name UMSJMG- INTERNAL MEDICINE SUITE 406
Street 7505 OSLER DRIVE STE 406
City TOWSON
State MD
ZIP 21204
Phone 410 560-6199
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. JULIE A. COLODONATO

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