21D2303696 CLIA NUMBER - BALTIMORE ADULT MEDICAL DAY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2303696
  • Facility Name: BALTIMORE ADULT MEDICAL DAY CENTER LLC
  • Facility Address: 800 S CATON AVE
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: 410 878-0917
  • Facility Type: Other - ADULT MEDICAL DAY CARE
  • Facility Type: Waiver
  • Lab Director: TYRA CARTER
  • NPI Number: 1457319691
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2303696
LAB Type Other - ADULT MEDICAL DAY CARE
Facility Name BALTIMORE ADULT MEDICAL DAY CENTER LLC
Street 800 S CATON AVE
City BALTIMORE
State MD
ZIP 21229
Phone 410 878-0917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Other - ADULT MEDICAL DAY CARE
Lab Director TYRA CARTER

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