AG LAB SERVICE
NPI 1871355446
Technician, Pathology - Phlebotomy in Stevensville, MD

Active since January 29, 2024CLIA 21D2319601 · Waiver
137 LOG CANOE CIR, STEVENSVILLE, MD 21666(443) 249-3405(443) 249-3123 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ag Lab Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AG LAB SERVICE (NPI 1871355446) is a healthcare organization registered as a phlebotomy in Stevensville, Maryland and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Ateeya Gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1871355446
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameAG LAB SERVICE
Location Address137 LOG CANOE CIRStevensville, MD 21666-2127
Mailing Address137 Log Canoe CirStevensville, MD 21666-2127 · (443) 249-3405 · Fax (443) 249-3123
Fax(443) 249-3123
Organization SubpartNo
Authorized OfficialAteeya GrayOwner · (443) 249-3405
Enumeration DateJanuary 29, 2024
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1871355446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
137 LOG CANOE CIR, Stevensville, MD 21666

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2319601

Ag Lab Service LLC · Stevensville, MD
Active · expires Mar 3, 2027
CLIA Number21D2319601
Laboratory TypeIndependent
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorGary Sprouse
Laboratory Phone(443) 249-3405
Laboratory LocationAg Lab Service LLC137 Log Canoe Cir, Stevensville, MD 21666
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
137 LOG CANOE CIR
STEVENSVILLE, MD 21666
Technician, Pathology (Phlebotomy)
137 LOG CANOE CIR
STEVENSVILLE, MD 21666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ag Lab Service's NPI number?

The NPI number for Ag Lab Service is 1871355446. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Ag Lab Service located?

Ag Lab Service is located at 137 Log Canoe Cir, Stevensville, MD 21666. The listed phone number is (443) 249-3405.

What is Ag Lab Service's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does Ag Lab Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2319601) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ag Lab Service was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.