21D2322970 CLIA NUMBER - MAIN HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 21D2322970
  • Facility Name: MAIN HEALTHCARE LLC
  • Facility Address: 2702 GEARTNER RD
    BALTIMORE, MD
    ZIP 21209
  • Facility Phone: 443 318-8713
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MAINSTAIN HANNAH
  • NPI Number: 1093502817
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2322970
LAB Type Practitioner Other
Facility Name MAIN HEALTHCARE LLC
Street 2702 GEARTNER RD
City BALTIMORE
State MD
ZIP 21209
Phone 443 318-8713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Practitioner Other
Lab Director MAINSTAIN HANNAH

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