21D1085886 CLIA NUMBER - CALVERTHEALTH OB/GYN

Laboratory Demographics

CLIA Number: 21D1085886

Facility Name: CALVERTHEALTH OB/GYN

Facility Address:
14090 H G TRUEMAN ROAD SUITE 2600
SOLOMONS, MD
ZIP 20688
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Facility Phone Number: 410 535-5610

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245387208

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D1085886
LAB Type	Physician Office
Facility Name	CALVERTHEALTH OB/GYN
Street	14090 H G TRUEMAN ROAD SUITE 2600
City	SOLOMONS
State	MD
ZIP	20688
Phone	410 535-5610
CertificateType	4
CertificateEffectiveDate	6/30/2022
CertificateExpirationDate	6/29/2024
FacilityType	Waiver

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