21D1029888 CLIA NUMBER - EVEIT GOBRIAL MD LLC

Laboratory Demographics

  • CLIA Code: 21D1029888
  • Facility Name: EVEIT GOBRIAL MD LLC
  • Facility Address: 3 E ROLLING CROSSROADS STE 56
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 747-4272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVEIT E. GOBRIAL
  • NPI Number: 1790739910
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1029888
LAB Type Physician Office
Facility Name EVEIT GOBRIAL MD LLC
Street 3 E ROLLING CROSSROADS STE 56
City CATONSVILLE
State MD
ZIP 21228
Phone 410 747-4272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director EVEIT E. GOBRIAL

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