21D2115765 CLIA NUMBER - ELMAN RETINA GROUP, P A

Laboratory Demographics

  • CLIA Code: 21D2115765
  • Facility Name: ELMAN RETINA GROUP, P A
  • Facility Address: 9114 PHILADELPHIA ROAD SUITE 310
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: 410 686-3000
  • Facility Type: Other - PRIVATE PRACTICE
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. ELMAN
  • NPI Number: 1225183734
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D2115765
LAB Type Other - PRIVATE PRACTICE
Facility Name ELMAN RETINA GROUP, P A
Street 9114 PHILADELPHIA ROAD SUITE 310
City BALTIMORE
State MD
ZIP 21237
Phone 410 686-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Other - PRIVATE PRACTICE
Lab Director MICHAEL J. ELMAN

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