21D1087481 CLIA NUMBER - MINUTECLINIC LLC #7952

Laboratory Demographics

  • CLIA Code: 21D1087481
  • Facility Name: MINUTECLINIC LLC #7952
  • Facility Address: 630 EXETER STREET
    BALTIMORE, MD
    ZIP 21202
  • Facility Phone: 401 770-6453
  • Facility Type: Other - LIM SVC HLTH CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: MINOKA MCPHERSON
  • NPI Number: 1972314243
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1087481
LAB Type Other - LIM SVC HLTH CARE CLINIC
Facility Name MINUTECLINIC LLC #7952
Street 630 EXETER STREET
City BALTIMORE
State MD
ZIP 21202
Phone 401 770-6453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Other - LIM SVC HLTH CARE CLINIC
Lab Director MINOKA MCPHERSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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