21D2067885 CLIA NUMBER - KATZEN MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2067885
  • Facility Name: KATZEN MEDICAL ASSOCIATES
  • Facility Address: 301 ST PAUL PLACE SUITE 902
    BALTIMORE, MD
    ZIP 21202
  • Facility Phone: 410 727-8380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRETT W. KATZEN MD
  • NPI Number: 1962918268
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D2067885
LAB Type Physician Office
Facility Name KATZEN MEDICAL ASSOCIATES
Street 301 ST PAUL PLACE SUITE 902
City BALTIMORE
State MD
ZIP 21202
Phone 410 727-8380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director BRETT W. KATZEN MD

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