21D0857438 CLIA NUMBER - SETON MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 21D0857438
  • Facility Name: SETON MEDICAL GROUP INC
  • Facility Address: 4 EAST ROLLING CROSSROADS STE 110
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 744-9073
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIANA R. MILLER-BRELAND
  • NPI Number: 1144409194
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0857438
LAB Type Physician Office
Facility Name SETON MEDICAL GROUP INC
Street 4 EAST ROLLING CROSSROADS STE 110
City CATONSVILLE
State MD
ZIP 21228
Phone 410 744-9073
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 TIANA R. MILLER-BRELAND

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