21D2238173 CLIA NUMBER - BRIGHTWELL HEALTH

Laboratory Demographics

  • CLIA Code: 21D2238173
  • Facility Name: BRIGHTWELL HEALTH
  • Facility Address: 7310 RITCHIE HWY #516
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 844 387-7469
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DREW C. FULLER
  • NPI Number: 1215515408
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2238173
LAB Type Physician Office
Facility Name BRIGHTWELL HEALTH
Street 7310 RITCHIE HWY #516
City GLEN BURNIE
State MD
ZIP 21061
Phone 844 387-7469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DR. DREW C. FULLER

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