21D2134266 CLIA NUMBER - WELLSPRING CLINIC

Laboratory Demographics

  • CLIA Code: 21D2134266
  • Facility Name: WELLSPRING CLINIC
  • Facility Address: 2012 S TOLLGATE ROAD SUITE 207
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 443 371-9750
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: YIBIN WANG
  • NPI Number: 1831443787
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 21D2134266
LAB Type Physician Office
Facility Name WELLSPRING CLINIC
Street 2012 S TOLLGATE ROAD SUITE 207
City BEL AIR
State MD
ZIP 21015
Phone 443 371-9750
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director YIBIN WANG

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