21D0976360 CLIA NUMBER - JULIUS BOATENG

Laboratory Demographics

  • CLIA Code: 21D0976360
  • Facility Name: JULIUS BOATENG
  • Facility Address: 2411 W BELEVEDERE AVE STE 304
    BALTIMORE, MD
    ZIP 21215
  • Facility Phone: 410 655-8964
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JULIUS BOATENG
  • NPI Number: 1831573179
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0976360
LAB Type Physician Office
Facility Name JULIUS BOATENG
Street 2411 W BELEVEDERE AVE STE 304
City BALTIMORE
State MD
ZIP 21215
Phone 410 655-8964
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 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director JULIUS BOATENG

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