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

Laboratory Demographics

CLIA Number: 21D2242096

Facility Name: PODIATRY ASSOCIATES P A AMBULATORY SURGICAL CENTER

Facility Address:
110 OLD PADONIA RD SUITE 301
COCKEYSVILLE, MD
ZIP 21030
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Facility Phone Number: 410 420-4116

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1861023327

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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
CertificateType 4
CertificateEffectiveDate 11/4/2023
CertificateExpirationDate 11/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024