21D0217948 CLIA NUMBER - AARON D GOLDBERG M D/MINDY LANDAU CRNP MD

Laboratory Demographics

  • CLIA Code: 21D0217948
  • Facility Name: AARON D GOLDBERG M D/MINDY LANDAU CRNP MD
  • Facility Address: 2835 SMITH AVE #207
    BALTIMORE, MD
    ZIP 21209
  • Facility Phone: 410 358-4243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARON D. GOLDBERG MD
  • NPI Number: 1033355417
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0217948
LAB Type Physician Office
Facility Name AARON D GOLDBERG M D/MINDY LANDAU CRNP MD
Street 2835 SMITH AVE #207
City BALTIMORE
State MD
ZIP 21209
Phone 410 358-4243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director AARON D. GOLDBERG MD

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