21D1065976 CLIA NUMBER - LHCG CCXXIV, LLC DBA HOMECALL OF BALTIMORE

Laboratory Demographics

  • CLIA Code: 21D1065976
  • Facility Name: LHCG CCXXIV, LLC DBA HOMECALL OF BALTIMORE
  • Facility Address: 4701 MOUNT HOPE DRIVE SUITE A
    BALTIMORE, MD
    ZIP 21215
  • Facility Phone: 410 644-0105
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHAYA EIDENSOHN
  • NPI Number: 1295820439
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D1065976
LAB Type Home Health Agency
Facility Name LHCG CCXXIV, LLC DBA HOMECALL OF BALTIMORE
Street 4701 MOUNT HOPE DRIVE SUITE A
City BALTIMORE
State MD
ZIP 21215
Phone 410 644-0105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Home Health Agency
Lab Director CHAYA EIDENSOHN

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