21D0923144 CLIA NUMBER - JOHN R MULVEY MD

Laboratory Demographics

  • CLIA Code: 21D0923144
  • Facility Name: JOHN R MULVEY MD
  • Facility Address: 104 WEST MAIN STREET
    ELKTON, MD
    ZIP 21921
  • Facility Phone: 410 996-8990
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOHN R. MULVEY
  • NPI Number: 1902863509
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0923144
LAB Type Physician Office
Facility Name JOHN R MULVEY MD
Street 104 WEST MAIN STREET
City ELKTON
State MD
ZIP 21921
Phone 410 996-8990
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 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director DR. JOHN R. MULVEY

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