21D0967209 CLIA NUMBER - CARLOS J PAGE MD

Laboratory Demographics

  • CLIA Code: 21D0967209
  • Facility Name: CARLOS J PAGE MD
  • Facility Address: 222 N CHARLES ST STE 101B
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 410 783-8770
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. CARLOS J. PAGE
  • NPI Number: 1508946468
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0967209
LAB Type Hospice
Facility Name CARLOS J PAGE MD
Street 222 N CHARLES ST STE 101B
City BALTIMORE
State MD
ZIP 21201
Phone 410 783-8770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Hospice
Lab Director DR. CARLOS J. PAGE

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