Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
21D0997103
|
|
Clinical laboratory number
|
|
Lab Name
|
SCOTT C POULTON MD
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
410-747-8773
|
|
Laboratory telephone number
|
|
Fax
|
410-747-6241
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
405 FREDERICK ROAD STE 204
|
|
Primary location adress line
|
|
City
|
CATONSVILLE
|
|
Primary location city name
|
|
State
|
MD
|
|
Primary location state name
|
|
Zip
|
21228
|
|
Primary location postal code
|