21D2327004 CLIA NUMBER - YAHWEH HEALTH PC

Laboratory Demographics

  • CLIA Code: 21D2327004
  • Facility Name: YAHWEH HEALTH PC
  • Facility Address: 1190 WINTERSON RD STE 200 (LH 54)
    LINTHICUM, MD
    ZIP 21090
  • Facility Phone: 443 507-8555
  • Facility Type: Other - NURSE PRACTITIONER
  • Facility Type: Waiver
  • Lab Director: CAROLNATHA CARTER
  • NPI Number: 1730079229
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2327004
LAB Type Other - NURSE PRACTITIONER
Facility Name YAHWEH HEALTH PC
Street 1190 WINTERSON RD STE 200 (LH 54)
City LINTHICUM
State MD
ZIP 21090
Phone 443 507-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Other - NURSE PRACTITIONER
Lab Director CAROLNATHA CARTER

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