21D2059349 CLIA NUMBER - CORAZON PANES-SANCHEZ

Laboratory Demographics

  • CLIA Code: 21D2059349
  • Facility Name: CORAZON PANES-SANCHEZ
  • Facility Address: 815 EASTERN BLVD
    BALTIMORE, MD
    ZIP 21221
  • Facility Phone: 410 687-4114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORAZON PANES-SANCHEZ
  • NPI Number: 1972328292
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2059349
LAB Type Physician Office
Facility Name CORAZON PANES-SANCHEZ
Street 815 EASTERN BLVD
City BALTIMORE
State MD
ZIP 21221
Phone 410 687-4114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director CORAZON PANES-SANCHEZ

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