21D2174061 CLIA NUMBER - ANNE ARUNDEL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 21D2174061
  • Facility Name: ANNE ARUNDEL DERMATOLOGY
  • Facility Address: 231 NAJOLES ROAD SUITE 300
    MILLERSVILLE, MD
    ZIP 21108
  • Facility Phone: 443 351-3930
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SAMMY KANG
  • NPI Number: 1053554824
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 21D2174061
LAB Type Physician Office
Facility Name ANNE ARUNDEL DERMATOLOGY
Street 231 NAJOLES ROAD SUITE 300
City MILLERSVILLE
State MD
ZIP 21108
Phone 443 351-3930
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director SAMMY KANG

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