21D2198785 CLIA NUMBER - ROBERT F HOOFNAGLE JR, MD, P A

Laboratory Demographics

  • CLIA Code: 21D2198785
  • Facility Name: ROBERT F HOOFNAGLE JR, MD, P A
  • Facility Address: 2 NORTH AVENUE SUITE 102
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 443 643-9900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL BRANCACCIO
  • NPI Number: 1861404022
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 21D2198785
LAB Type Physician Office
Facility Name ROBERT F HOOFNAGLE JR, MD, P A
Street 2 NORTH AVENUE SUITE 102
City BEL AIR
State MD
ZIP 21014
Phone 443 643-9900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director MICHAEL BRANCACCIO

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