21D0952925 CLIA NUMBER - JOHNS HOPKINS BAYVIEW MEDICAL CTR/POC

Laboratory Demographics

  • CLIA Code: 21D0952925
  • Facility Name: JOHNS HOPKINS BAYVIEW MEDICAL CTR/POC
  • Facility Address: 4940 EASTERN AVENUE BLDG AA RM 154
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 410 550-0655
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. KEVAN J. SALIMIAN
  • NPI Number: 1720540925
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0952925
LAB Type Hospital
Facility Name JOHNS HOPKINS BAYVIEW MEDICAL CTR/POC
Street 4940 EASTERN AVENUE BLDG AA RM 154
City BALTIMORE
State MD
ZIP 21224
Phone 410 550-0655
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 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Hospital
Lab Director DR. KEVAN J. SALIMIAN

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