21D0217741 CLIA NUMBER - YORK-BELVEDERE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 21D0217741
  • Facility Name: YORK-BELVEDERE MEDICAL CENTER
  • Facility Address: 1205 YORK ROAD SUITE 36
    LUTHERVILLE, MD
    ZIP 21093
  • Facility Phone: 410 832-7350
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MANUEL RAMOS MD
  • NPI Number: 1003924754
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0217741
LAB Type Physician Office
Facility Name YORK-BELVEDERE MEDICAL CENTER
Street 1205 YORK ROAD SUITE 36
City LUTHERVILLE
State MD
ZIP 21093
Phone 410 832-7350
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director MANUEL RAMOS MD

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