21D2260838 CLIA NUMBER - CHESAPEAKE EAR, NOSE AND THROAT

Laboratory Demographics

  • CLIA Code: 21D2260838
  • Facility Name: CHESAPEAKE EAR, NOSE AND THROAT
  • Facility Address: 23 CROSSROADS DR SUITE 400
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 443 289-3833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAM NGUYEN
  • NPI Number: 1609823004
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2260838
LAB Type Physician Office
Facility Name CHESAPEAKE EAR, NOSE AND THROAT
Street 23 CROSSROADS DR SUITE 400
City OWINGS MILLS
State MD
ZIP 21117
Phone 443 289-3833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director TAM NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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