21D2302341 CLIA NUMBER - EMERALD SPRING CLINICS LLC

Laboratory Demographics

  • CLIA Code: 21D2302341
  • Facility Name: EMERALD SPRING CLINICS LLC
  • Facility Address: 405 N PACA STREET
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 410 779-9609
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EBERE NDUKA
  • NPI Number: 1356000947
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2302341
LAB Type Practitioner Other
Facility Name EMERALD SPRING CLINICS LLC
Street 405 N PACA STREET
City BALTIMORE
State MD
ZIP 21201
Phone 410 779-9609
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 Practitioner Other
Lab Director EBERE NDUKA

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