21D2141860 CLIA NUMBER - INFINITE MEDICAL EXPRESS

Laboratory Demographics

  • CLIA Code: 21D2141860
  • Facility Name: INFINITE MEDICAL EXPRESS
  • Facility Address: 1401 PULASKI HWY #W
    EDGEWOOD, MD
    ZIP 21040
  • Facility Phone: 410 671-6900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENEE A. FLETCHER RN
  • NPI Number: 1629592738
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2141860
LAB Type Physician Office
Facility Name INFINITE MEDICAL EXPRESS
Street 1401 PULASKI HWY #W
City EDGEWOOD
State MD
ZIP 21040
Phone 410 671-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Physician Office
Lab Director RENEE A. FLETCHER RN

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