21D2164353 CLIA NUMBER - GBMC HEALTH PARTNERS AT JONESTOWN

Laboratory Demographics

  • CLIA Code: 21D2164353
  • Facility Name: GBMC HEALTH PARTNERS AT JONESTOWN
  • Facility Address: 1017 E BALTIMORE ST GROUND LEVEL
    BALTIMORE, MD
    ZIP 21202
  • Facility Phone: 410 826-0170
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES BARONAS
  • NPI Number: 1003389115
  • Taxonomy: 208D00000X - General Practice

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director JAMES BARONAS

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This page was last updated on: 3/20/2025