21D0221271 CLIA NUMBER - ATLANTIC GENERAL HEALTH SYSTEM TOWNSEND MED CTR

Laboratory Demographics

CLIA Code: 21D0221271
Facility Name: ATLANTIC GENERAL HEALTH SYSTEM TOWNSEND MED CTR
Facility Address: 1001 PHILADELPHIA AVENUE
OCEAN CITY, MD
ZIP 21842
Facility Phone: 410 641-9362
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: MR. VANESSA SPARTA
NPI Number: 1407454465
Taxonomy: 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

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CLIA Record

Field Name	Field Value
CLIA Number	21D0221271
LAB Type	Physician Office
Facility Name	ATLANTIC GENERAL HEALTH SYSTEM TOWNSEND MED CTR
Street	1001 PHILADELPHIA AVENUE
City	OCEAN CITY
State	MD
ZIP	21842
Phone	410 641-9362
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/26/2025
Certificate Expiration Date	3/25/2027
Facility Type	Physician Office
Lab Director	MR. VANESSA SPARTA

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