21D2305254 CLIA NUMBER - MOSAIC COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 21D2305254
  • Facility Name: MOSAIC COMMUNITY SERVICES
  • Facility Address: 2225 N CHARLES ST
    BALTIMORE, MD
    ZIP 21218
  • Facility Phone: 443 612-1402
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SUPRIYA NARANG
  • NPI Number: 1235317884
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2305254
LAB Type Community Clinic
Facility Name MOSAIC COMMUNITY SERVICES
Street 2225 N CHARLES ST
City BALTIMORE
State MD
ZIP 21218
Phone 443 612-1402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Community Clinic
Lab Director SUPRIYA NARANG

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