21D2125994 CLIA NUMBER - MARYLAND STATE POLICE- MEDICAL SERVICES UNIT

Laboratory Demographics

  • CLIA Code: 21D2125994
  • Facility Name: MARYLAND STATE POLICE- MEDICAL SERVICES UNIT
  • Facility Address: 1201 REISTERTOWN RD
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 653-8366
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT S. BRANNAN
  • NPI Number: 1043893928
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2125994
LAB Type Physician Office
Facility Name MARYLAND STATE POLICE- MEDICAL SERVICES UNIT
Street 1201 REISTERTOWN RD
City PIKESVILLE
State MD
ZIP 21208
Phone 410 653-8366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director ROBERT S. BRANNAN

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