21D2091319 CLIA NUMBER - ST MARY'S COUNTY PUBLIC SCHOOL

Laboratory Demographics

  • CLIA Code: 21D2091319
  • Facility Name: ST MARY'S COUNTY PUBLIC SCHOOL
  • Facility Address: 23160 MOAKLEY STREET #104
    LEONARDTOWN, MD
    ZIP 20650
  • Facility Phone: 301 475-5511
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TAMMATHA B. METCALF
  • NPI Number: 1437292216
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 21D2091319
LAB Type School/Student Health Service
Facility Name ST MARY'S COUNTY PUBLIC SCHOOL
Street 23160 MOAKLEY STREET #104
City LEONARDTOWN
State MD
ZIP 20650
Phone 301 475-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type School/Student Health Service
Lab Director TAMMATHA B. METCALF

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