21D0916334 CLIA NUMBER - RAMANA GOPALAN

Laboratory Demographics

  • CLIA Code: 21D0916334
  • Facility Name: RAMANA GOPALAN
  • Facility Address: 716 MAIDEN CHOICE LANE #206
    BALTIMORE, MD
    ZIP 21228
  • Facility Phone: 410 747-5888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RAMANA GOPALAN
  • NPI Number: 1851332563
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0916334
LAB Type Physician Office
Facility Name RAMANA GOPALAN
Street 716 MAIDEN CHOICE LANE #206
City BALTIMORE
State MD
ZIP 21228
Phone 410 747-5888
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director DR. RAMANA GOPALAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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