21D2243984 CLIA NUMBER - RAM RECOVERY

Laboratory Demographics

  • CLIA Code: 21D2243984
  • Facility Name: RAM RECOVERY
  • Facility Address: 3455 WILKENS AVE SUITE 203
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: 410 401-0297
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PHILLIP RAGLAND
  • NPI Number: 1922623313
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2243984
LAB Type Community Clinic
Facility Name RAM RECOVERY
Street 3455 WILKENS AVE SUITE 203
City BALTIMORE
State MD
ZIP 21229
Phone 410 401-0297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Community Clinic
Lab Director PHILLIP RAGLAND

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