21D2056666 CLIA NUMBER - MOHSIN ANSARI MD FAAP PC

Laboratory Demographics

  • CLIA Code: 21D2056666
  • Facility Name: MOHSIN ANSARI MD FAAP PC
  • Facility Address: 7001 JOHNNY CAKE ROAD #102
    WINDSOR MILL, MD
    ZIP 21244
  • Facility Phone: 410 744-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHSIN ANSARI
  • NPI Number: 1427143536
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2056666
LAB Type Physician Office
Facility Name MOHSIN ANSARI MD FAAP PC
Street 7001 JOHNNY CAKE ROAD #102
City WINDSOR MILL
State MD
ZIP 21244
Phone 410 744-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director MOHSIN ANSARI

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