21D2279559 CLIA NUMBER - TRI-STATE HEALTH, INC

Laboratory Demographics

  • CLIA Code: 21D2279559
  • Facility Name: TRI-STATE HEALTH, INC
  • Facility Address: 218 E PULASKI HWY #B
    ELKTON, MD
    ZIP 21921
  • Facility Phone: 410 392-6408
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MUHAMMED A. NIAZ
  • NPI Number: 1609348325
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2279559
LAB Type Physician Office
Facility Name TRI-STATE HEALTH, INC
Street 218 E PULASKI HWY #B
City ELKTON
State MD
ZIP 21921
Phone 410 392-6408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director DR. MUHAMMED A. NIAZ

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