21D2234556 CLIA NUMBER - GRACE MEDICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 21D2234556
  • Facility Name: GRACE MEDICAL SERVICES LLC
  • Facility Address: 6600 YORK RD #200B
    BALTIMORE, MD
    ZIP 21212
  • Facility Phone: 443 275-1031
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGATHA N. UKAEGBU
  • NPI Number: 1487229639
  • Taxonomy: 363LP2300X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2234556
LAB Type Physician Office
Facility Name GRACE MEDICAL SERVICES LLC
Street 6600 YORK RD #200B
City BALTIMORE
State MD
ZIP 21212
Phone 443 275-1031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director AGATHA N. UKAEGBU

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