21D2103684 CLIA NUMBER - PATRICIA L SCHMOKE MD, PA

Laboratory Demographics

  • CLIA Code: 21D2103684
  • Facility Name: PATRICIA L SCHMOKE MD, PA
  • Facility Address: 2401 LIBERTY HEIGHTS AVE, SUITE 1080
    BALTIMORE, MD
    ZIP 21215
  • Facility Phone: 410 669-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA L. SCHMOKE
  • NPI Number: 1548236656
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D2103684
LAB Type Physician Office
Facility Name PATRICIA L SCHMOKE MD, PA
Street 2401 LIBERTY HEIGHTS AVE, SUITE 1080
City BALTIMORE
State MD
ZIP 21215
Phone 410 669-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director PATRICIA L. SCHMOKE

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