21D2049482 CLIA NUMBER - GARRETT MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 21D2049482
  • Facility Name: GARRETT MEDICAL GROUP
  • Facility Address: 24441 GARRETT HIGHWAY
    MC HENRY, MD
    ZIP 21541
  • Facility Phone: 301 387-8718
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT GORALSKI
  • NPI Number: 1487751608
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2049482
LAB Type Physician Office
Facility Name GARRETT MEDICAL GROUP
Street 24441 GARRETT HIGHWAY
City MC HENRY
State MD
ZIP 21541
Phone 301 387-8718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director ROBERT GORALSKI

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This page was last updated on: 9/29/2025