21D2221203 CLIA NUMBER - AZIZ OBGYN

Laboratory Demographics

  • CLIA Code: 21D2221203
  • Facility Name: AZIZ OBGYN
  • Facility Address: 10632 LITTLE PATUXENT PKWY #106
    COLUMBIA, MD
    ZIP 21044
  • Facility Phone: 410 775-6430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOMAYARA H. AZIZ
  • NPI Number: 1932640760
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D2221203
LAB Type Physician Office
Facility Name AZIZ OBGYN
Street 10632 LITTLE PATUXENT PKWY #106
City COLUMBIA
State MD
ZIP 21044
Phone 410 775-6430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director HOMAYARA H. AZIZ

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