21D0894023 CLIA NUMBER - MARYLAND ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 21D0894023
  • Facility Name: MARYLAND ENDOSCOPY CENTER, LLC
  • Facility Address: 100 WEST ROAD SUITE 115
    BALTIMORE, MD
    ZIP 21204
  • Facility Phone: 410 494-0144
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD A. DESI
  • NPI Number: 1366818411
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 21D0894023
LAB Type Other
Facility Name MARYLAND ENDOSCOPY CENTER, LLC
Street 100 WEST ROAD SUITE 115
City BALTIMORE
State MD
ZIP 21204
Phone 410 494-0144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other
Lab Director DR. RICHARD A. DESI

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