21D2191860 CLIA NUMBER - CHARTER RADIOLOGY

Laboratory Demographics

  • CLIA Code: 21D2191860
  • Facility Name: CHARTER RADIOLOGY
  • Facility Address: 5005 SIGNAL BELL LN SUITE 102
    CLARKSVILLE, MD
    ZIP 21029
  • Facility Phone: 443 917-2855
  • Facility Type: Other - OP RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: ARVINDER UPPAL
  • NPI Number: 1639506587
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 21D2191860
LAB Type Other - OP RADIOLOGY
Facility Name CHARTER RADIOLOGY
Street 5005 SIGNAL BELL LN SUITE 102
City CLARKSVILLE
State MD
ZIP 21029
Phone 443 917-2855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Other - OP RADIOLOGY
Lab Director ARVINDER UPPAL

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