21D2127226 CLIA NUMBER - FACIAL PLASTIC SURGICENTER

Laboratory Demographics

  • CLIA Code: 21D2127226
  • Facility Name: FACIAL PLASTIC SURGICENTER
  • Facility Address: 1838 GREENE TREE RD, #370
    BALTIMORE, MD
    ZIP 21208
  • Facility Phone: 410 486-3400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MR. IRA PAPEL
  • NPI Number: 1831118892
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 21D2127226
LAB Type Ambulatory Surgery Center
Facility Name FACIAL PLASTIC SURGICENTER
Street 1838 GREENE TREE RD, #370
City BALTIMORE
State MD
ZIP 21208
Phone 410 486-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Ambulatory Surgery Center
Lab Director MR. IRA PAPEL

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