21D2171021 CLIA NUMBER - TRI-STATE HEALTH INC

Laboratory Demographics

  • CLIA Code: 21D2171021
  • Facility Name: TRI-STATE HEALTH INC
  • Facility Address: 2288 PULASKI HWY
    NORTH EAST, MD
    ZIP 21901
  • Facility Phone: 410 392-6408
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MUHAMMED A. NIAZ
  • NPI Number: 1255409082
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D2171021
LAB Type Physician Office
Facility Name TRI-STATE HEALTH INC
Street 2288 PULASKI HWY
City NORTH EAST
State MD
ZIP 21901
Phone 410 392-6408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director DR. MUHAMMED A. NIAZ

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