21D2162860 CLIA NUMBER - EMMANUEL ELDER CARE SRVCS/ ADULT MEDICAL DAY CARE

Laboratory Demographics

  • CLIA Code: 21D2162860
  • Facility Name: EMMANUEL ELDER CARE SRVCS/ ADULT MEDICAL DAY CARE
  • Facility Address: 6612 BALTIMORE NATIONAL PIKE
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 443 288-6677
  • Facility Type: Other - ADULT MED DAY CARE
  • Facility Type: Waiver
  • Lab Director: JESSICA SOL
  • NPI Number: 1285273656
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2162860
LAB Type Other - ADULT MED DAY CARE
Facility Name EMMANUEL ELDER CARE SRVCS/ ADULT MEDICAL DAY CARE
Street 6612 BALTIMORE NATIONAL PIKE
City CATONSVILLE
State MD
ZIP 21228
Phone 443 288-6677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Other - ADULT MED DAY CARE
Lab Director JESSICA SOL

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