21D2030633 CLIA NUMBER - GASTRO ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2030633
  • Facility Name: GASTRO ASSOCIATES
  • Facility Address: 85 KINDRED WAY #201
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 590-8920
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ENRICO A. GIANGERUSO
  • NPI Number: 1316969256
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2030633
LAB Type Physician Office
Facility Name GASTRO ASSOCIATES
Street 85 KINDRED WAY #201
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 590-8920
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director ENRICO A. GIANGERUSO

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