21D0214558 CLIA NUMBER - CROSSROADS MEDICAL LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 21D0214558
  • Facility Name: CROSSROADS MEDICAL LABORATORY LLC
  • Facility Address: 4801 DORSEY HALL DRIVE SUITE 200
    ELLICOTT CITY, MD
    ZIP 21042
  • Facility Phone: 410 997-3620
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: WARREN M. ROSS
  • NPI Number: 1700546785
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0214558
LAB Type Physician Office
Facility Name CROSSROADS MEDICAL LABORATORY LLC
Street 4801 DORSEY HALL DRIVE SUITE 200
City ELLICOTT CITY
State MD
ZIP 21042
Phone 410 997-3620
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 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Physician Office
Lab Director WARREN M. ROSS

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