21D1054320 CLIA NUMBER - DRS MAURIELLO AND ORFAN

Laboratory Demographics

CLIA Number: 21D1054320

Facility Name: DRS MAURIELLO AND ORFAN

Facility Address:
1125 DIAMOND DRIVE
HAGERSTOWN, MD
ZIP 21740
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Facility Phone Number: 301 790-1482

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588778450

Taxonomy: 207K00000X - Allergy & Immunology
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLIA Record

Field Name	Field Value
CLIA Number	21D1054320
LAB Type	Physician Office
Facility Name	DRS MAURIELLO AND ORFAN
Street	1125 DIAMOND DRIVE
City	HAGERSTOWN
State	MD
ZIP	21740
Phone	301 790-1482
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

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