21D2187021 CLIA NUMBER - SANDRA LENI MD LLC

Laboratory Demographics

  • CLIA Code: 21D2187021
  • Facility Name: SANDRA LENI MD LLC
  • Facility Address: 645 BALTIMORE ANNAPLIS BLVD #213
    SEVERNA PARK, MD
    ZIP 21146
  • Facility Phone: 240 428-0528
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANDRA LENI
  • NPI Number: 1760490270
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2187021
LAB Type Physician Office
Facility Name SANDRA LENI MD LLC
Street 645 BALTIMORE ANNAPLIS BLVD #213
City SEVERNA PARK
State MD
ZIP 21146
Phone 240 428-0528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. SANDRA LENI

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