21D2137898 CLIA NUMBER - CPT LLC POTOMAC THERAPY

Laboratory Demographics

  • CLIA Code: 21D2137898
  • Facility Name: CPT LLC POTOMAC THERAPY
  • Facility Address: 249 HENDERSON AVENUE
    CUMBERLAND, MD
    ZIP 21502
  • Facility Phone: 240 362-7444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLIN OTTEY
  • NPI Number: 1487038543
  • Taxonomy: 364SF0001X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D2137898
LAB Type Physician Office
Facility Name CPT LLC POTOMAC THERAPY
Street 249 HENDERSON AVENUE
City CUMBERLAND
State MD
ZIP 21502
Phone 240 362-7444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director COLIN OTTEY

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