21D2212398 CLIA NUMBER - A1 IN-HOME PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 21D2212398
  • Facility Name: A1 IN-HOME PRIMARY CARE, LLC
  • Facility Address: 1120 N CHARLES ST #109
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 443 345-6009
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CAROL A. EDWARDS
  • NPI Number: 1114516176
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2212398
LAB Type Practitioner Other
Facility Name A1 IN-HOME PRIMARY CARE, LLC
Street 1120 N CHARLES ST #109
City BALTIMORE
State MD
ZIP 21201
Phone 443 345-6009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Practitioner Other
Lab Director CAROL A. EDWARDS

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