21D2307438 CLIA NUMBER - CLOSEKNIT HEALTH

Laboratory Demographics

  • CLIA Code: 21D2307438
  • Facility Name: CLOSEKNIT HEALTH
  • Facility Address: 1501 S CLINTON ST SUITE 100
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 866 233-6925
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA LACARRUBBA
  • NPI Number: 1548967128
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2307438
LAB Type Physician Office
Facility Name CLOSEKNIT HEALTH
Street 1501 S CLINTON ST SUITE 100
City BALTIMORE
State MD
ZIP 21224
Phone 866 233-6925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director LISA LACARRUBBA

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