21D2297107 CLIA NUMBER - LILIA DEBORJA MD

Laboratory Demographics

  • CLIA Code: 21D2297107
  • Facility Name: LILIA DEBORJA MD
  • Facility Address: 848 W 36TH ST
    BALTIMORE, MD
    ZIP 21211
  • Facility Phone: 410 366-3666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILIA DEBORJA
  • NPI Number: 1972532885
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2297107
LAB Type Physician Office
Facility Name LILIA DEBORJA MD
Street 848 W 36TH ST
City BALTIMORE
State MD
ZIP 21211
Phone 410 366-3666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director LILIA DEBORJA

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