21D2169288 CLIA NUMBER - AMERICAN MEDICAL RESPONSE- MID ATLANTIC, INC

Laboratory Demographics

  • CLIA Code: 21D2169288
  • Facility Name: AMERICAN MEDICAL RESPONSE- MID ATLANTIC, INC
  • Facility Address: 1900 LANSDOWNE ROAD SUITE K
    BALTIMORE, MD
    ZIP 21227
  • Facility Phone: 202 570-1216
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KENNETH LAVELLE
  • NPI Number: 1689857880
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2169288
LAB Type Ambulance
Facility Name AMERICAN MEDICAL RESPONSE- MID ATLANTIC, INC
Street 1900 LANSDOWNE ROAD SUITE K
City BALTIMORE
State MD
ZIP 21227
Phone 202 570-1216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Ambulance
Lab Director KENNETH LAVELLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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