21D2285312 CLIA NUMBER - LIFEBRIDGE COMMUNITY GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 21D2285312
  • Facility Name: LIFEBRIDGE COMMUNITY GASTROENTEROLOGY
  • Facility Address: 535 OLD WESTMINSTER PIKE SUITE 101
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 236-8155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD HELLER
  • NPI Number: 1972978625
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2285312
LAB Type Physician Office
Facility Name LIFEBRIDGE COMMUNITY GASTROENTEROLOGY
Street 535 OLD WESTMINSTER PIKE SUITE 101
City WESTMINSTER
State MD
ZIP 21157
Phone 410 236-8155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director TODD HELLER

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