21D2284635 CLIA NUMBER - SUMMIT BRACHYTHERAPY LLC

Laboratory Demographics

  • CLIA Code: 21D2284635
  • Facility Name: SUMMIT BRACHYTHERAPY LLC
  • Facility Address: 3407 WILKENS AVE #200
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: (410) 644-0929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRAD LERNER
  • NPI Number: 1306570940
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2284635
LAB Type Physician Office
Facility Name SUMMIT BRACHYTHERAPY LLC
Street 3407 WILKENS AVE #200
City BALTIMORE
State MD
ZIP 21229
Phone 4106440929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director DR. BRAD LERNER

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This page was last updated on: 5/18/2026