21D2299350 CLIA NUMBER - TIMONIUM ENDOSCOPY CENTERS LLC

Laboratory Demographics

  • CLIA Code: 21D2299350
  • Facility Name: TIMONIUM ENDOSCOPY CENTERS LLC
  • Facility Address: 1212 YORK ROAD SUITE B101
    LUTHERVILLE, MD
    ZIP 21093
  • Facility Phone: 410 290-6677
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RUDRAJIT RAI
  • NPI Number: 1407632847
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2299350
LAB Type Ambulatory Surgery Center
Facility Name TIMONIUM ENDOSCOPY CENTERS LLC
Street 1212 YORK ROAD SUITE B101
City LUTHERVILLE
State MD
ZIP 21093
Phone 410 290-6677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Ambulatory Surgery Center
Lab Director RUDRAJIT RAI

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