21D2281189 CLIA NUMBER - CHARM CITY PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 21D2281189
  • Facility Name: CHARM CITY PRIMARY CARE INC
  • Facility Address: 2218 REISTERSTOWN ROAD
    BALTIMORE, MD
    ZIP 21217
  • Facility Phone: 301 975-1296
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVESH KANJARPANE
  • NPI Number: 1114321767
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2281189
LAB Type Physician Office
Facility Name CHARM CITY PRIMARY CARE INC
Street 2218 REISTERSTOWN ROAD
City BALTIMORE
State MD
ZIP 21217
Phone 301 975-1296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director DEVESH KANJARPANE

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