21D2169028 CLIA NUMBER - COMPREHENSIVE INTEGRATED ALLIED HEALTHCARE SERVICE

Laboratory Demographics

CLIA Number: 21D2169028

Facility Name: COMPREHENSIVE INTEGRATED ALLIED HEALTHCARE SERVICE

Facility Address:
6 PARK CENTER ST SUITE 210
OWINGS MILLS, MD
ZIP 21117
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Facility Phone Number: (443) 271-3013

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1871055616

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2169028
LAB Type	OTHER PRACTITIONER
Facility Name	COMPREHENSIVE INTEGRATED ALLIED HEALTHCARE SERVICE
Street	6 PARK CENTER ST SUITE 210
City	OWINGS MILLS
State	MD
ZIP	21117
Phone	(443) 271-3013

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This page was last updated on: 5/11/2023