21D2141005 CLIA NUMBER - PHYSICIAN OFFICES OF UNIV OF MD TRANSPLANT

Laboratory Demographics

  • CLIA Code: 21D2141005
  • Facility Name: PHYSICIAN OFFICES OF UNIV OF MD TRANSPLANT
  • Facility Address: 16 S EUTAW ST SUITE 100
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 443 425-8611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SILKE V. NIEDERHAUS
  • NPI Number: 1568508927
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 21D2141005
LAB Type Physician Office
Facility Name PHYSICIAN OFFICES OF UNIV OF MD TRANSPLANT
Street 16 S EUTAW ST SUITE 100
City BALTIMORE
State MD
ZIP 21201
Phone 443 425-8611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director SILKE V. NIEDERHAUS

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