21D2255010 CLIA NUMBER - HEALER HEALTH LLC

Laboratory Demographics

CLIA Number: 21D2255010

Facility Name: HEALER HEALTH LLC

Facility Address:
7004 SECURITY BLVD, SUITE 300
BALTIMORE, MD
ZIP 21244
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Facility Phone Number: 410 978-6577

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740853753

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	21D2255010
LAB Type	Physician Office
Facility Name	HEALER HEALTH LLC
Street	7004 SECURITY BLVD, SUITE 300
City	BALTIMORE
State	MD
ZIP	21244
Phone	410 978-6577
CertificateType	4
CertificateEffectiveDate	3/9/2024
CertificateExpirationDate	3/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024