21D0978197 CLIA NUMBER - JOHNSTON FAMILY MEDICINE LLC

Laboratory Demographics

CLIA Number: 21D0978197

Facility Name: JOHNSTON FAMILY MEDICINE LLC

Facility Address:
41 MAGNA WAY STE 100
WESTMINSTER, MD
ZIP 21157
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Facility Phone Number: 410 751-6684

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1952448482

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	21D0978197
LAB Type	Physician Office
Facility Name	JOHNSTON FAMILY MEDICINE LLC
Street	41 MAGNA WAY STE 100
City	WESTMINSTER
State	MD
ZIP	21157
Phone	410 751-6684
CertificateType	3
CertificateEffectiveDate	9/19/2022
CertificateExpirationDate	9/18/2024
FacilityType	PPMP

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