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21D2067914 CLIA NUMBER - UNIVERSITY OF MD LAUREL MEDICAL CENTER (WOUND CTR)

Laboratory Demographics

CLIA Number: 21D2067914

Facility Name: UNIVERSITY OF MD LAUREL MEDICAL CENTER (WOUND CTR)

Facility Address:
7400 VAN DUSEN ROAD
LAUREL, MD
ZIP 20707
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Facility Phone Number: 301 725-7255

Facility Type: Other - WOUND CARE CENTER

Certificate Type: Waiver
NPI Number: 1124204094

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 21D2067914
LAB Type Other - WOUND CARE CENTER
Facility Name UNIVERSITY OF MD LAUREL MEDICAL CENTER (WOUND CTR)
Street 7400 VAN DUSEN ROAD
City LAUREL
State MD
ZIP 20707
Phone 301 725-7255
CertificateType 4
CertificateEffectiveDate 10/24/2023
CertificateExpirationDate 10/23/2025
FacilityType Waiver

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