21D1028880 CLIA NUMBER - HAGERSTOWN HEART

Laboratory Demographics

CLIA Number: 21D1028880

Facility Name: HAGERSTOWN HEART

Facility Address:
1733 HOWELL ROAD
HAGERSTOWN, MD
ZIP 21740
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Facility Phone Number: 301 797-2525

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649220484

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	21D1028880
LAB Type	Physician Office
Facility Name	HAGERSTOWN HEART
Street	1733 HOWELL ROAD
City	HAGERSTOWN
State	MD
ZIP	21740
Phone	301 797-2525
CertificateType	4
CertificateEffectiveDate	8/4/2022
CertificateExpirationDate	8/3/2024
FacilityType	Waiver

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