21D1013170 CLIA NUMBER - ST MARY'S COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 21D1013170

Facility Name: ST MARY'S COUNTY HEALTH DEPARTMENT

Facility Address:
21580 PEABODY ST PO BOX 316
LEONARDTOWN, MD
ZIP 20650
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Facility Phone Number: 301 475-4330

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1508163320

Taxonomy: 261QA0005X - Clinic/Center
An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.

CLIA Record

Field Name	Field Value
CLIA Number	21D1013170
LAB Type	Community Clinic
Facility Name	ST MARY'S COUNTY HEALTH DEPARTMENT
Street	21580 PEABODY ST PO BOX 316
City	LEONARDTOWN
State	MD
ZIP	20650
Phone	301 475-4330
CertificateType	3
CertificateEffectiveDate	6/3/2023
CertificateExpirationDate	6/2/2025
FacilityType	PPMP

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