CLIA Code Details

Clinical Laboratory Code : 21D2328594

KELLEEN BECK - THE MAMA COACH (PRACTITIONER OTHER)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 21D2328594
Clinical laboratory number
Lab Name KELLEEN BECK - THE MAMA COACH
Laboratory Name
Lab Type Practitioner Other
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 240-678-2590
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 12209 FALLEN TIMBERS CIRCLE
Primary location adress line
City HAGERSTOWN
Primary location city name
State MD
Primary location state name
Zip 21740
Primary location postal code

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