21D0976507 CLIA NUMBER - ANITA KHANDELWAL MD PA

Laboratory Demographics

  • CLIA Code: 21D0976507
  • Facility Name: ANITA KHANDELWAL MD PA
  • Facility Address: 3001 S HANOVER STREET STE 210
    BALTIMORE, MD
    ZIP 21225
  • Facility Phone: 410 355-2244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITA KHANDELWAL
  • NPI Number: 1518988047
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0976507
LAB Type Physician Office
Facility Name ANITA KHANDELWAL MD PA
Street 3001 S HANOVER STREET STE 210
City BALTIMORE
State MD
ZIP 21225
Phone 410 355-2244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director ANITA KHANDELWAL

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