21D1093993 CLIA NUMBER - WESTSIDE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 21D1093993
  • Facility Name: WESTSIDE HEALTH CENTER
  • Facility Address: 2449 W FREDERICK AVE
    BALTIMORE, MD
    ZIP 21223
  • Facility Phone: 410 383-8300
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. MARCEE J. WHITE
  • NPI Number: 1326094574
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D1093993
LAB Type Federally Qualified Health Center
Facility Name WESTSIDE HEALTH CENTER
Street 2449 W FREDERICK AVE
City BALTIMORE
State MD
ZIP 21223
Phone 410 383-8300
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Federally Qualified Health Center
Lab Director DR. MARCEE J. WHITE

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