21D2318446 CLIA NUMBER - ADVANCED PICC SPECIALIST INC

Laboratory Demographics

  • CLIA Code: 21D2318446
  • Facility Name: ADVANCED PICC SPECIALIST INC
  • Facility Address: 8028 RITCHIE HEY STE 131
    PASADENA, MD
    ZIP 21122
  • Facility Phone: 443 226-1676
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. PRABHAKAR D. BORGE JR
  • NPI Number: 1134354566
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2318446
LAB Type Independent
Facility Name ADVANCED PICC SPECIALIST INC
Street 8028 RITCHIE HEY STE 131
City PASADENA
State MD
ZIP 21122
Phone 443 226-1676
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Independent
Lab Director DR. PRABHAKAR D. BORGE JR

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