21D2242096 CLIA NUMBER - PODIATRY ASSOCIATES P A AMBULATORY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 21D2242096
  • Facility Name: PODIATRY ASSOCIATES P A AMBULATORY SURGICAL CENTER
  • Facility Address: 110 OLD PADONIA RD SUITE 301
    COCKEYSVILLE, MD
    ZIP 21030
  • Facility Phone: 410 420-4116
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHARLES M. BOYD
  • NPI Number: 1861023327
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2242096
LAB Type Ambulatory Surgery Center
Facility Name PODIATRY ASSOCIATES P A AMBULATORY SURGICAL CENTER
Street 110 OLD PADONIA RD SUITE 301
City COCKEYSVILLE
State MD
ZIP 21030
Phone 410 420-4116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Ambulatory Surgery Center
Lab Director CHARLES M. BOYD

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