21D2234868 CLIA NUMBER - ADVANCED RADIOLOGY-AIELLO CENTER AT BWMC

Laboratory Demographics

  • CLIA Code: 21D2234868
  • Facility Name: ADVANCED RADIOLOGY-AIELLO CENTER AT BWMC
  • Facility Address: 203 HOSPITAL DR STE
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 443 436-1245
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALLISON L. OLDFIELD
  • NPI Number: 1760979116
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 21D2234868
LAB Type Practitioner Other
Facility Name ADVANCED RADIOLOGY-AIELLO CENTER AT BWMC
Street 203 HOSPITAL DR STE
City GLEN BURNIE
State MD
ZIP 21061
Phone 443 436-1245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Practitioner Other
Lab Director ALLISON L. OLDFIELD

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