21D2315614 CLIA NUMBER - DOCTORS FIRST PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 21D2315614
  • Facility Name: DOCTORS FIRST PROFESSIONAL CORPORATION
  • Facility Address: 877 BALTIMORE ANNAPOLIS BLVD #112
    SEVERNA PARK, MD
    ZIP 21146
  • Facility Phone: 301 515-2901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAKESH MALIK
  • NPI Number: 1659186260
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2315614
LAB Type Physician Office
Facility Name DOCTORS FIRST PROFESSIONAL CORPORATION
Street 877 BALTIMORE ANNAPOLIS BLVD #112
City SEVERNA PARK
State MD
ZIP 21146
Phone 301 515-2901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director DR. RAKESH MALIK

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