21D2298192 CLIA NUMBER - DOCTOR BENN LLC

Laboratory Demographics

  • CLIA Code: 21D2298192
  • Facility Name: DOCTOR BENN LLC
  • Facility Address: 3635 OLD COURT RD #511
    BALTIMORE, MD
    ZIP 21208
  • Facility Phone: 410 504-8255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RACHEL S. BENN
  • NPI Number: 1174232862
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2298192
LAB Type Physician Office
Facility Name DOCTOR BENN LLC
Street 3635 OLD COURT RD #511
City BALTIMORE
State MD
ZIP 21208
Phone 410 504-8255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director DR. RACHEL S. BENN

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