21D2269243 CLIA NUMBER - ADVANCED DERMATOLOGY OF MARYLAND

Laboratory Demographics

  • CLIA Code: 21D2269243
  • Facility Name: ADVANCED DERMATOLOGY OF MARYLAND
  • Facility Address: 1838 GREENE TREE ROAD #340
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SOWMYA RAVI
  • NPI Number: 1528262821
  • Taxonomy: 237700000X - Hearing Instrument Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D2269243
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF MARYLAND
Street 1838 GREENE TREE ROAD #340
City PIKESVILLE
State MD
ZIP 21208
Phone 407 284-3407
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. SOWMYA RAVI

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