21D2118374 CLIA NUMBER - QUADMED - KOHL'S EDGEWOOD

Laboratory Demographics

  • CLIA Code: 21D2118374
  • Facility Name: QUADMED - KOHL'S EDGEWOOD
  • Facility Address: 1701 TRIMBLE ROAD
    EDGEWOOD, MD
    ZIP 21040
  • Facility Phone: 844 708-4822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIGG W. BARSNESS
  • NPI Number: 1104363035
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2118374
LAB Type Physician Office
Facility Name QUADMED - KOHL'S EDGEWOOD
Street 1701 TRIMBLE ROAD
City EDGEWOOD
State MD
ZIP 21040
Phone 844 708-4822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director DR. BRIGG W. BARSNESS

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