21D0716571 CLIA NUMBER - UNION MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 21D0716571
  • Facility Name: UNION MEDICAL CLINIC
  • Facility Address: 251 LEWIS LANE SUITE 201
    HAVRE DE GRACE, MD
    ZIP 21078
  • Facility Phone: 410 939-4477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS BIONDO
  • NPI Number: 1841479938
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0716571
LAB Type Physician Office
Facility Name UNION MEDICAL CLINIC
Street 251 LEWIS LANE SUITE 201
City HAVRE DE GRACE
State MD
ZIP 21078
Phone 410 939-4477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. THOMAS BIONDO

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