21D0928294 CLIA NUMBER - ABERDEEN FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 21D0928294

Facility Name: ABERDEEN FAMILY PRACTICE

Facility Address:
9 ABERDEEN SHOPPING PLAZA
ABERDEEN, MD
ZIP 21001
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Facility Phone Number: 410 272-8844

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548884232

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	21D0928294
LAB Type	Physician Office
Facility Name	ABERDEEN FAMILY PRACTICE
Street	9 ABERDEEN SHOPPING PLAZA
City	ABERDEEN
State	MD
ZIP	21001
Phone	410 272-8844
CertificateType	4
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024