21D2183615 CLIA NUMBER - AEON TECHNOLOGIES, LLC

Laboratory Demographics

  • CLIA Code: 21D2183615
  • Facility Name: AEON TECHNOLOGIES, LLC
  • Facility Address: 1 TECHNOLOGY DRIVE #1600
    FROSTBURG, MD
    ZIP 21532
  • Facility Phone: 240 284-2792
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. OCTAVIA M. PECK PALMER
  • NPI Number: 1669095600
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2183615
LAB Type Independent
Facility Name AEON TECHNOLOGIES, LLC
Street 1 TECHNOLOGY DRIVE #1600
City FROSTBURG
State MD
ZIP 21532
Phone 240 284-2792
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Independent
Lab Director DR. OCTAVIA M. PECK PALMER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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