21D2302339 CLIA NUMBER - UNIVERSITY OF MARYLAND MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 21D2302339
  • Facility Name: UNIVERSITY OF MARYLAND MEDICAL CENTER
  • Facility Address: 110 S PACA ST 5TH FLOOR N-170
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 786 602-4415
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: KASHIF MUNIR
  • NPI Number: 1508807355
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2302339
LAB Type Health Fair
Facility Name UNIVERSITY OF MARYLAND MEDICAL CENTER
Street 110 S PACA ST 5TH FLOOR N-170
City BALTIMORE
State MD
ZIP 21201
Phone 786 602-4415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Health Fair
Lab Director KASHIF MUNIR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025