21D2093130 CLIA NUMBER - CALVERT COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 21D2093130
  • Facility Name: CALVERT COUNTY HEALTH DEPARTMENT
  • Facility Address: 11845 H G TRUEMAN RD
    LUSBY, MD
    ZIP 20657
  • Facility Phone: 410 535-3079
  • Facility Type: Other - COMM SUBSTANCE ABUSE CL
  • Facility Type: Waiver
  • Lab Director: LAURENCE B. POLSKY
  • NPI Number: 1801447586
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2093130
LAB Type Other - COMM SUBSTANCE ABUSE CL
Facility Name CALVERT COUNTY HEALTH DEPARTMENT
Street 11845 H G TRUEMAN RD
City LUSBY
State MD
ZIP 20657
Phone 410 535-3079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Other - COMM SUBSTANCE ABUSE CL
Lab Director LAURENCE B. POLSKY

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