21D2067881 CLIA NUMBER - KATZEN MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2067881
  • Facility Name: KATZEN MEDICAL ASSOCIATES
  • Facility Address: 7106 RIDGE ROAD
    ROSEDALE, MD
    ZIP 21237
  • Facility Phone: 410 866-2022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRETT W. KATZEN MD
  • NPI Number: 1568978864
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D2067881
LAB Type Physician Office
Facility Name KATZEN MEDICAL ASSOCIATES
Street 7106 RIDGE ROAD
City ROSEDALE
State MD
ZIP 21237
Phone 410 866-2022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director BRETT W. KATZEN MD

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