21D0897536 CLIA NUMBER - CONCENTRA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 21D0897536
  • Facility Name: CONCENTRA MEDICAL CENTERS
  • Facility Address: 100 S CHARLES STREET STE 150
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 410 752-3010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SEAN P. PUFFY
  • NPI Number: 1710143003
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0897536
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS
Street 100 S CHARLES STREET STE 150
City BALTIMORE
State MD
ZIP 21201
Phone 410 752-3010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director DR. SEAN P. PUFFY

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