21D2026486 CLIA NUMBER - WESTERN MD HLTH SYS OB/GYN OFFICE

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Laboratory Demographics

CLIA Number: 21D2026486

Facility Name: WESTERN MD HLTH SYS OB/GYN OFFICE

Facility Address:
12502 WILLOWBROOK ROAD STE 660
CUMBERLAND, MD
ZIP 21502
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Facility Phone Number: (240) 964-8760

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1306863360

Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	21D2026486
LAB Type	PHYSICIAN OFFICE
Facility Name	WESTERN MD HLTH SYS OB/GYN OFFICE
Street	12502 WILLOWBROOK ROAD STE 660
City	CUMBERLAND
State	MD
ZIP	21502
Phone	(240) 964-8760

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This page was last updated on: 5/11/2023