21D2212402 CLIA NUMBER - BELLA ROSE MEDICAL AESTHETICS

Laboratory Demographics

  • CLIA Code: 21D2212402
  • Facility Name: BELLA ROSE MEDICAL AESTHETICS
  • Facility Address: 2 CHESTER PLAZA
    CHESTER, MD
    ZIP 21619
  • Facility Phone: 443 249-3232
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE ROSE
  • NPI Number: 1144081860
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2212402
LAB Type Practitioner Other
Facility Name BELLA ROSE MEDICAL AESTHETICS
Street 2 CHESTER PLAZA
City CHESTER
State MD
ZIP 21619
Phone 443 249-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Practitioner Other
Lab Director STEPHANIE ROSE

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