21D2006454 CLIA NUMBER - FREESTATE TRANSPORTATION

Laboratory Demographics

  • CLIA Code: 21D2006454
  • Facility Name: FREESTATE TRANSPORTATION
  • Facility Address: 1001 CROMWELL BRIDGE RD #210
    TOWSON, MD
    ZIP 21286
  • Facility Phone: 410 609-2156
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATTHEW LARRABEE
  • NPI Number: 1720302052
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 21D2006454
LAB Type Ambulance
Facility Name FREESTATE TRANSPORTATION
Street 1001 CROMWELL BRIDGE RD #210
City TOWSON
State MD
ZIP 21286
Phone 410 609-2156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Ambulance
Lab Director MATTHEW LARRABEE

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