21D0939753 CLIA NUMBER - WESTERN CORRECTIONAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 21D0939753
  • Facility Name: WESTERN CORRECTIONAL INSTITUTE
  • Facility Address: 13800 MCMULLEN HIGHWAY SW
    CUMBERLAND, MD
    ZIP 21502
  • Facility Phone: 301 729-7115
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. CPNTAH NIMELY
  • NPI Number: 1306849351
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D0939753
LAB Type Prison
Facility Name WESTERN CORRECTIONAL INSTITUTE
Street 13800 MCMULLEN HIGHWAY SW
City CUMBERLAND
State MD
ZIP 21502
Phone 301 729-7115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Prison
Lab Director DR. CPNTAH NIMELY

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