21D0215494 CLIA NUMBER - LUMINIS HEALTH OB/GYN - ANNAPOLIS

Laboratory Demographics

CLIA Number: 21D0215494

Facility Name: LUMINIS HEALTH OB/GYN - ANNAPOLIS

Facility Address:
2000 MEDICAL PARKWAY SUITE 304
ANNAPOLIS, MD
ZIP 21401
Get Directions

Facility Phone Number: 410 573-9530

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073036687

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	21D0215494
LAB Type	Physician Office
Facility Name	LUMINIS HEALTH OB/GYN - ANNAPOLIS
Street	2000 MEDICAL PARKWAY SUITE 304
City	ANNAPOLIS
State	MD
ZIP	21401
Phone	410 573-9530
CertificateType	4
CertificateEffectiveDate	4/1/2024
CertificateExpirationDate	3/31/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024