21D0919511 CLIA NUMBER - SETON MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 21D0919511
  • Facility Name: SETON MEDICAL GROUP INC
  • Facility Address: 6740 ALEXANDER BELL DRIVE #300
    COLUMBIA, MD
    ZIP 21046
  • Facility Phone: 410 564-0000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MERCY JACKSON
  • NPI Number: 1003696279
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 21D0919511
LAB Type Physician Office
Facility Name SETON MEDICAL GROUP INC
Street 6740 ALEXANDER BELL DRIVE #300
City COLUMBIA
State MD
ZIP 21046
Phone 410 564-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director MERCY JACKSON

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