21D2180725 CLIA NUMBER - INSPIREIM LLC

Laboratory Demographics

  • CLIA Code: 21D2180725
  • Facility Name: INSPIREIM LLC
  • Facility Address: 277 PENINSULA FARM RD SUITE I, K & L
    ARNOLD, MD
    ZIP 21012
  • Facility Phone: 410 989-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARIAILEEN D. SOURWINE
  • NPI Number: 1750911806
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2180725
LAB Type Physician Office
Facility Name INSPIREIM LLC
Street 277 PENINSULA FARM RD SUITE I, K & L
City ARNOLD
State MD
ZIP 21012
Phone 410 989-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director DR. MARIAILEEN D. SOURWINE

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