21D0220393 CLIA NUMBER - CHOPTANK COMMUNITY HEALTH SYSTEM INC

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Laboratory Demographics

CLIA Number: 21D0220393

Facility Name: CHOPTANK COMMUNITY HEALTH SYSTEM INC

Facility Address:
301 RANDOLPH STREET
DENTON, MD
ZIP 21629
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Facility Phone Number: 410 479-4306

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1942978333

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0220393
LAB Type	Other
Facility Name	CHOPTANK COMMUNITY HEALTH SYSTEM INC
Street	301 RANDOLPH STREET
City	DENTON
State	MD
ZIP	21629
Phone	410 479-4306
CertificateType	3
CertificateEffectiveDate	2/13/2023
CertificateExpirationDate	2/12/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024