21D2248576 CLIA NUMBER - ADVANCED INTERVENTIONAL PAIN & SPORTS MEDICINE CTR

Laboratory Demographics

  • CLIA Code: 21D2248576
  • Facility Name: ADVANCED INTERVENTIONAL PAIN & SPORTS MEDICINE CTR
  • Facility Address: 20 CROSSROADS DR, STE 210
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 581-2969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIT BHARGAVA
  • NPI Number: 1316597990
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2248576
LAB Type Physician Office
Facility Name ADVANCED INTERVENTIONAL PAIN & SPORTS MEDICINE CTR
Street 20 CROSSROADS DR, STE 210
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 581-2969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director AMIT BHARGAVA

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: 3/20/2025