21D2280435 CLIA NUMBER - BALTIMORE MEDICAL SYSTEMS AT YARD 56

Laboratory Demographics

  • CLIA Code: 21D2280435
  • Facility Name: BALTIMORE MEDICAL SYSTEMS AT YARD 56
  • Facility Address: 5525 EASTERN AVE SUITE 201
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 443 703-3477
  • Facility Type: Health Fair
  • Facility Type: Microscopy
  • Lab Director: NICOLE C. NAMOUR
  • NPI Number: 1164138152
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2280435
LAB Type Health Fair
Facility Name BALTIMORE MEDICAL SYSTEMS AT YARD 56
Street 5525 EASTERN AVE SUITE 201
City BALTIMORE
State MD
ZIP 21224
Phone 443 703-3477
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Health Fair
Lab Director NICOLE C. NAMOUR

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