21D2202207 CLIA NUMBER - HEALTHY GENERATIONS COMPREHENSIVE CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2202207
  • Facility Name: HEALTHY GENERATIONS COMPREHENSIVE CARE LLC
  • Facility Address: 7850 ROSSVILLE BLVD SUITE 210
    BALTIMORE, MD
    ZIP 21236
  • Facility Phone: 443 961-6164
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHAVON DARDEN
  • NPI Number: 1417563883
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2202207
LAB Type Physician Office
Facility Name HEALTHY GENERATIONS COMPREHENSIVE CARE LLC
Street 7850 ROSSVILLE BLVD SUITE 210
City BALTIMORE
State MD
ZIP 21236
Phone 443 961-6164
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 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director SHAVON DARDEN

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