21D0710717 CLIA NUMBER - BALTIMORE CITY HLTH DEPT EASTERN SEXUAL HLTH CLINI

Laboratory Demographics

  • CLIA Code: 21D0710717
  • Facility Name: BALTIMORE CITY HLTH DEPT EASTERN SEXUAL HLTH CLINI
  • Facility Address: 1200 E FAYETTE ST 1ST FLOOR
    BALTIMORE, MD
    ZIP 21202
  • Facility Phone: 410 396-9410
  • Facility Type: Other
  • Facility Type: Certificate of Compliance
  • Lab Director: NICOLE PARRISH
  • NPI Number: 1689748030
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 21D0710717
LAB Type Other
Facility Name BALTIMORE CITY HLTH DEPT EASTERN SEXUAL HLTH CLINI
Street 1200 E FAYETTE ST 1ST FLOOR
City BALTIMORE
State MD
ZIP 21202
Phone 410 396-9410
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Other
Lab Director NICOLE PARRISH

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