21D0687973 CLIA NUMBER - USCG YARD BALTIMORE

Laboratory Demographics

  • CLIA Code: 21D0687973
  • Facility Name: USCG YARD BALTIMORE
  • Facility Address: 2401 HAWKINS POINT ROAD
    BALTIMORE, MD
    ZIP 21226
  • Facility Phone: 609 898-6544
  • Facility Type: Other - USCG
  • Facility Type: Waiver
  • Lab Director: LTJG TIMOTHY A. CLARK
  • NPI Number: 1598778623
  • Taxonomy: 261QM1101X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0687973
LAB Type Other - USCG
Facility Name USCG YARD BALTIMORE
Street 2401 HAWKINS POINT ROAD
City BALTIMORE
State MD
ZIP 21226
Phone 609 898-6544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Other - USCG
Lab Director LTJG TIMOTHY A. CLARK

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