21D0927744 CLIA NUMBER - BALTIMORE MED SYS AT HIGHLANDTOWN

Laboratory Demographics

  • CLIA Code: 21D0927744
  • Facility Name: BALTIMORE MED SYS AT HIGHLANDTOWN
  • Facility Address: 3700 FLEET ST SUITE 200
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 410 558-4700
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ERICA C. ISLES MD
  • NPI Number: 1548266547
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0927744
LAB Type Community Clinic
Facility Name BALTIMORE MED SYS AT HIGHLANDTOWN
Street 3700 FLEET ST SUITE 200
City BALTIMORE
State MD
ZIP 21224
Phone 410 558-4700
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 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Community Clinic
Lab Director ERICA C. ISLES MD

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