21D2344300 CLIA NUMBER - CHESAPEAKE MOBILE LAB LLC

Laboratory Demographics

  • CLIA Code: 21D2344300
  • Facility Name: CHESAPEAKE MOBILE LAB LLC
  • Facility Address: 1105 NORTH POINT BLVD #331
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: (443) 231-8461
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MICHELLE P. BLACKSTON
  • NPI Number: 1538078605
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2344300
LAB Type Mobile Laboratory
Facility Name CHESAPEAKE MOBILE LAB LLC
Street 1105 NORTH POINT BLVD #331
City BALTIMORE
State MD
ZIP 21224
Phone 4432318461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2026
Certificate Expiration Date 5/19/2028
Facility Type Mobile Laboratory
Lab Director MICHELLE P. BLACKSTON

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This page was last updated on: 9/8/2026