21D0995507 CLIA NUMBER - ENDO CENTRE OF BALTIMORE

Laboratory Demographics

  • CLIA Code: 21D0995507
  • Facility Name: ENDO CENTRE OF BALTIMORE
  • Facility Address: 1838 GREENE TREE RD #180
    BALTIMORE, MD
    ZIP 21208
  • Facility Phone: 410 602-7782
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TODD D. HELLER MD
  • NPI Number: 1790738359
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0995507
LAB Type Ambulatory Surgery Center
Facility Name ENDO CENTRE OF BALTIMORE
Street 1838 GREENE TREE RD #180
City BALTIMORE
State MD
ZIP 21208
Phone 410 602-7782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Ambulatory Surgery Center
Lab Director TODD D. HELLER MD

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