21D2151446 CLIA NUMBER - MD MATT

Laboratory Demographics

  • CLIA Code: 21D2151446
  • Facility Name: MD MATT
  • Facility Address: 10220 S DOLFIELD RD STE 106
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 443 559-4137
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TIFFANY KNIGHT
  • NPI Number: 1780322826
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2151446
LAB Type Physician Office
Facility Name MD MATT
Street 10220 S DOLFIELD RD STE 106
City OWINGS MILLS
State MD
ZIP 21117
Phone 443 559-4137
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director TIFFANY KNIGHT

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