21D2167711 CLIA NUMBER - ASIMA RAHMAN LLC

Laboratory Demographics

  • CLIA Code: 21D2167711
  • Facility Name: ASIMA RAHMAN LLC
  • Facility Address: 9110 PHILADELPHIA ROAD SUITE 100
    ROSEDALE, MD
    ZIP 21237
  • Facility Phone: 410 391-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASIMA RAHMAN
  • NPI Number: 1891358289
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2167711
LAB Type Physician Office
Facility Name ASIMA RAHMAN LLC
Street 9110 PHILADELPHIA ROAD SUITE 100
City ROSEDALE
State MD
ZIP 21237
Phone 410 391-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director ASIMA RAHMAN

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