21D0937427 CLIA NUMBER - SETON MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 21D0937427
  • Facility Name: SETON MEDICAL GROUP
  • Facility Address: 2801 FOSTER AVENUE
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 410 342-5990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH H. WILLIAMS MD
  • NPI Number: 1194546721
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0937427
LAB Type Physician Office
Facility Name SETON MEDICAL GROUP
Street 2801 FOSTER AVENUE
City BALTIMORE
State MD
ZIP 21224
Phone 410 342-5990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director KENNETH H. WILLIAMS MD

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