21D0215764 CLIA NUMBER - NORTHWEST HOSPITAL CENTER

Laboratory Demographics

  • CLIA Code: 21D0215764
  • Facility Name: NORTHWEST HOSPITAL CENTER
  • Facility Address: 5401 OLD COURT RD - PATHOLOGY DEPT 1ST FLOOR ATTENTION ERIC SCHMITH
    RANDALLSTOWN, MD
    ZIP 21133
  • Facility Phone: 410 521-5910
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SRIVIDYA SATHIYAMOORTHY
  • NPI Number: 1750825352
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 21D0215764
LAB Type Hospital
Facility Name NORTHWEST HOSPITAL CENTER
Street 5401 OLD COURT RD - PATHOLOGY DEPT 1ST FLOOR ATTENTION ERIC SCHMITH
City RANDALLSTOWN
State MD
ZIP 21133
Phone 410 521-5910
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. SRIVIDYA SATHIYAMOORTHY

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