21D1004204 CLIA NUMBER - MAXIM HEALTHCARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 21D1004204
  • Facility Name: MAXIM HEALTHCARE SERVICES INC
  • Facility Address: 1110 BENFIELD BLVD, SUITE F-G FRONT
    MILLERSVILLE, MD
    ZIP 21108
  • Facility Phone: 443 274-3071
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LUIS E. RIVERA-RAMIREZ
  • NPI Number: 1306957824
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D1004204
LAB Type Home Health Agency
Facility Name MAXIM HEALTHCARE SERVICES INC
Street 1110 BENFIELD BLVD, SUITE F-G FRONT
City MILLERSVILLE
State MD
ZIP 21108
Phone 443 274-3071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Home Health Agency
Lab Director LUIS E. RIVERA-RAMIREZ

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