21D2294333 CLIA NUMBER - TRI-HEARTS

Laboratory Demographics

  • CLIA Code: 21D2294333
  • Facility Name: TRI-HEARTS
  • Facility Address: 5602 BALTIMORE NATIONAL PIKE STE 204
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 717 655-0866
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GAYDUO BARR
  • NPI Number: 1871050716
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2294333
LAB Type Practitioner Other
Facility Name TRI-HEARTS
Street 5602 BALTIMORE NATIONAL PIKE STE 204
City CATONSVILLE
State MD
ZIP 21228
Phone 717 655-0866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Practitioner Other
Lab Director GAYDUO BARR

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