21D0917632 CLIA NUMBER - ROBERT L GATTUSO MD

Laboratory Demographics

  • CLIA Code: 21D0917632
  • Facility Name: ROBERT L GATTUSO MD
  • Facility Address: 106 MT CARMEL ROAD
    PARKTON, MD
    ZIP 21120
  • Facility Phone: 410 357-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT L. GATTUSO
  • NPI Number: 1679637979
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0917632
LAB Type Physician Office
Facility Name ROBERT L GATTUSO MD
Street 106 MT CARMEL ROAD
City PARKTON
State MD
ZIP 21120
Phone 410 357-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director DR. ROBERT L. GATTUSO

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