21D2119165 CLIA NUMBER - BY GRACE, INC

Laboratory Demographics

  • CLIA Code: 21D2119165
  • Facility Name: BY GRACE, INC
  • Facility Address: 1002 E PATAPSCO AVE
    BALTIMORE, MD
    ZIP 21225
  • Facility Phone: 410 831-0191
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. NICOLAS G. SCOTTO
  • NPI Number: 1538567961
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 21D2119165
LAB Type Community Clinic
Facility Name BY GRACE, INC
Street 1002 E PATAPSCO AVE
City BALTIMORE
State MD
ZIP 21225
Phone 410 831-0191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Community Clinic
Lab Director DR. NICOLAS G. SCOTTO

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