21D2110912 CLIA NUMBER - CARROLL HEALTH GROUP ENDO ELDERSBURG

Laboratory Demographics

  • CLIA Code: 21D2110912
  • Facility Name: CARROLL HEALTH GROUP ENDO ELDERSBURG
  • Facility Address: 1380 PROGRESS WAY STE 102
    ELDERSBURG, MD
    ZIP 21784
  • Facility Phone: 410 751-2510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNIL GURUNG
  • NPI Number: 1023871522
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2110912
LAB Type Physician Office
Facility Name CARROLL HEALTH GROUP ENDO ELDERSBURG
Street 1380 PROGRESS WAY STE 102
City ELDERSBURG
State MD
ZIP 21784
Phone 410 751-2510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director SUNIL GURUNG

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