21D2263532 CLIA NUMBER - QUARRY PREMIER MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 21D2263532
  • Facility Name: QUARRY PREMIER MEDICINE LLC
  • Facility Address: 2700 QUARRY LAKE DR SUITE 200
    BALTIMORE, MD
    ZIP 21209
  • Facility Phone: 410 415-5814
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA DEWITT
  • NPI Number: 1225922362
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2263532
LAB Type Physician Office
Facility Name QUARRY PREMIER MEDICINE LLC
Street 2700 QUARRY LAKE DR SUITE 200
City BALTIMORE
State MD
ZIP 21209
Phone 410 415-5814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director ERICA DEWITT

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: 9/29/2025