21D0220965 CLIA NUMBER - WILLIAM R LINTHICUM MD

Laboratory Demographics

  • CLIA Code: 21D0220965
  • Facility Name: WILLIAM R LINTHICUM MD
  • Facility Address: ONE KINGS DRIVE PO BOX 452
    TANEYTOWN, MD
    ZIP 21787
  • Facility Phone: 410 751-1111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM R. LINTHICUM MD
  • NPI Number: 1477544682
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0220965
LAB Type Physician Office
Facility Name WILLIAM R LINTHICUM MD
Street ONE KINGS DRIVE PO BOX 452
City TANEYTOWN
State MD
ZIP 21787
Phone 410 751-1111
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 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director WILLIAM R. LINTHICUM MD

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This page was last updated on: 9/29/2025