21D2109441 CLIA NUMBER - JUST HEART CARDIOVASCULAR GROUP INC

Laboratory Demographics

  • CLIA Code: 21D2109441
  • Facility Name: JUST HEART CARDIOVASCULAR GROUP INC
  • Facility Address: 2 RESERVOIR CIRCLE SUITE 105
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 225-8615
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAMELLUS O. EZEUGWU
  • NPI Number: 1659318152
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2109441
LAB Type Physician Office
Facility Name JUST HEART CARDIOVASCULAR GROUP INC
Street 2 RESERVOIR CIRCLE SUITE 105
City PIKESVILLE
State MD
ZIP 21208
Phone 410 225-8615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director CAMELLUS O. EZEUGWU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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