21D0214522 CLIA NUMBER - SETON MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 21D0214522
  • Facility Name: SETON MEDICAL GROUP, INC
  • Facility Address: 6740 ALEXANDER BELL DRIVE #200 & 101
    COLUMBIA, MD
    ZIP 21046
  • Facility Phone: 410 997-8444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ERICA J. LEVANTHAL
  • NPI Number: 1003696279
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 21D0214522
LAB Type Physician Office
Facility Name SETON MEDICAL GROUP, INC
Street 6740 ALEXANDER BELL DRIVE #200 & 101
City COLUMBIA
State MD
ZIP 21046
Phone 410 997-8444
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ERICA J. LEVANTHAL

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This page was last updated on: 3/20/2025