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21D2175383 CLIA NUMBER - APPLIED IMMUNOGENETICS LABORATORY

Laboratory Demographics

CLIA Number: 21D2175383

Facility Name: APPLIED IMMUNOGENETICS LABORATORY

Facility Address:
11419 CRONRIDGE DRIVE SUITE 17
OWINGS MILLS, MD
ZIP 21117
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Facility Phone Number: 443 668-7242

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1689206112

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 21D2175383
LAB Type Independent
Facility Name APPLIED IMMUNOGENETICS LABORATORY
Street 11419 CRONRIDGE DRIVE SUITE 17
City OWINGS MILLS
State MD
ZIP 21117
Phone 443 668-7242
CertificateType 1
CertificateEffectiveDate 3/2/2024
CertificateExpirationDate 3/1/2026
FacilityType Accreditation

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This page was last updated on: 4/23/2024