21D2137641 CLIA NUMBER - AMERICAN ACCESS CARE OF BALTIMORE ASC, LLC

Laboratory Demographics

  • CLIA Code: 21D2137641
  • Facility Name: AMERICAN ACCESS CARE OF BALTIMORE ASC, LLC
  • Facility Address: 8140 CORPORATE DRIVE SUITE 125
    NOTTINGHAM, MD
    ZIP 21236
  • Facility Phone: 410 931-9729
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EUGENE ESSANDOH
  • NPI Number: 1366416034
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 21D2137641
LAB Type Ambulatory Surgery Center
Facility Name AMERICAN ACCESS CARE OF BALTIMORE ASC, LLC
Street 8140 CORPORATE DRIVE SUITE 125
City NOTTINGHAM
State MD
ZIP 21236
Phone 410 931-9729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Ambulatory Surgery Center
Lab Director EUGENE ESSANDOH

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