21D2164353 CLIA NUMBER - GBMC HEALTH PARTNERS AT JONESTOWN

Laboratory Demographics

CLIA Number: 21D2164353

Facility Name: GBMC HEALTH PARTNERS AT JONESTOWN

Facility Address:
1017 E BALTIMORE ST GROUND LEVEL
BALTIMORE, MD
ZIP 21202
Get Directions

Facility Phone Number: 410 826-0170

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1003389115

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	21D2164353
LAB Type	Physician Office
Facility Name	GBMC HEALTH PARTNERS AT JONESTOWN
Street	1017 E BALTIMORE ST GROUND LEVEL
City	BALTIMORE
State	MD
ZIP	21202
Phone	410 826-0170
CertificateType	3
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024