21D2257552 CLIA NUMBER - INTEGRATIVE HEALTH PRACTICES

Laboratory Demographics

  • CLIA Code: 21D2257552
  • Facility Name: INTEGRATIVE HEALTH PRACTICES
  • Facility Address: 9501 OLD ANNAPOLIS RD #205
    ELLICOTT CITY, MD
    ZIP 21042
  • Facility Phone: 410 648-2555
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM ROLLOW
  • NPI Number: 1033634530
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2257552
LAB Type Physician Office
Facility Name INTEGRATIVE HEALTH PRACTICES
Street 9501 OLD ANNAPOLIS RD #205
City ELLICOTT CITY
State MD
ZIP 21042
Phone 410 648-2555
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director WILLIAM ROLLOW

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