21D0897546 CLIA NUMBER - CONCENTRA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 21D0897546
  • Facility Name: CONCENTRA MEDICAL CENTER
  • Facility Address: 811 CROMWELL PARK DRIVE STE 104 - 105
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 553-0110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY J. HONG
  • NPI Number: 1992961288
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0897546
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTER
Street 811 CROMWELL PARK DRIVE STE 104 - 105
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 553-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director JEFFREY J. HONG

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