Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
21D0882838
|
|
Clinical laboratory number
|
|
Lab Name
|
PREMISE HEALTH OF MARYLAND MEDICAL P C
|
|
Laboratory Name
|
|
Lab Type
|
Skilled Nursing Facility/Nursing Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
301-644-5600
|
|
Laboratory telephone number
|
|
Fax
|
301-293-6331
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
7407 WILLOW ROAD
|
|
Primary location adress line
|
|
City
|
FREDERICK
|
|
Primary location city name
|
|
State
|
MD
|
|
Primary location state name
|
|
Zip
|
21702
|
|
Primary location postal code
|