21D0894633 CLIA NUMBER - CHARLESTOWN EMPLOYEE HEALTH AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 21D0894633
  • Facility Name: CHARLESTOWN EMPLOYEE HEALTH AND WELLNESS CENTER
  • Facility Address: 715 MAIDEN CHOICE LANE
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 737-8801
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MYLA CARPENTER
  • NPI Number: 1699797704
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 21D0894633
LAB Type Home Health Agency
Facility Name CHARLESTOWN EMPLOYEE HEALTH AND WELLNESS CENTER
Street 715 MAIDEN CHOICE LANE
City CATONSVILLE
State MD
ZIP 21228
Phone 410 737-8801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Home Health Agency
Lab Director MYLA CARPENTER

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