Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
21D2093034
|
|
Clinical laboratory number
|
|
Lab Name
|
NURSE MANAGED WELLNESS CENTER
|
|
Laboratory Name
|
|
Lab Type
|
School/Student Health Service
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
301-784-5548
|
|
Laboratory telephone number
|
|
Fax
|
301-784-5094
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
12401 WILLOWBROOK RD, SE ALLIED HLTH BLDG, RM 122
|
|
Primary location adress line
|
|
City
|
CUMBERLAND
|
|
Primary location city name
|
|
State
|
MD
|
|
Primary location state name
|
|
Zip
|
21502
|
|
Primary location postal code
|