21D2075405 CLIA NUMBER - SINAI HOSPITAL OF BALTO PEDIATRIC ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 21D2075405
  • Facility Name: SINAI HOSPITAL OF BALTO PEDIATRIC ENDOCRINOLOGY
  • Facility Address: 2411 W BELVEDERE AVENUE STE 205
    BALTIMORE, MD
    ZIP 21215
  • Facility Phone: 410 601-8331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN MILLER
  • NPI Number: 1043819089
  • Taxonomy: 2080P0214X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2075405
LAB Type Physician Office
Facility Name SINAI HOSPITAL OF BALTO PEDIATRIC ENDOCRINOLOGY
Street 2411 W BELVEDERE AVENUE STE 205
City BALTIMORE
State MD
ZIP 21215
Phone 410 601-8331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director RYAN MILLER

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This page was last updated on: 6/4/2025