21D0960836 CLIA NUMBER - CARROLL OCCUPATIONAL HEALTH

Laboratory Demographics

CLIA Number: 21D0960836

Facility Name: CARROLL OCCUPATIONAL HEALTH

Facility Address:
700 CORPORATE CENTER COURT STE A
WESTMINSTER, MD
ZIP 21157
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Facility Phone Number: 410 871-0470

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568064079

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0960836
LAB Type	Physician Office
Facility Name	CARROLL OCCUPATIONAL HEALTH
Street	700 CORPORATE CENTER COURT STE A
City	WESTMINSTER
State	MD
ZIP	21157
Phone	410 871-0470
CertificateType	4
CertificateEffectiveDate	5/21/2023
CertificateExpirationDate	5/20/2025
FacilityType	Waiver

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