21D2131288 CLIA NUMBER - BW PRIMARY CARE FOUNDRY ROW

Laboratory Demographics

  • CLIA Code: 21D2131288
  • Facility Name: BW PRIMARY CARE FOUNDRY ROW
  • Facility Address: 10084 REISTERSTOWN ROAD STE 200A
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 552-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDI E. BRAMAN
  • NPI Number: 1891247003
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2131288
LAB Type Physician Office
Facility Name BW PRIMARY CARE FOUNDRY ROW
Street 10084 REISTERSTOWN ROAD STE 200A
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 552-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director RANDI E. BRAMAN

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: 9/29/2025