21D2096991 CLIA NUMBER - METRO XTRACARE PC

Laboratory Demographics

  • CLIA Code: 21D2096991
  • Facility Name: METRO XTRACARE PC
  • Facility Address: 3608 MILFORD MILL RD
    WINDSOR MILL, MD
    ZIP 21244
  • Facility Phone: 443 272-7858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BABAJIDE O. RUNSEWE
  • NPI Number: 1477958429
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2096991
LAB Type Physician Office
Facility Name METRO XTRACARE PC
Street 3608 MILFORD MILL RD
City WINDSOR MILL
State MD
ZIP 21244
Phone 443 272-7858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director BABAJIDE O. RUNSEWE

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