21D2184040 CLIA NUMBER - PROGRESSIVE MULTI MEDICAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 21D2184040
  • Facility Name: PROGRESSIVE MULTI MEDICAL SERVICES INC
  • Facility Address: 200 N PHILADELPHIA BLVD #A
    ABERDEEN, MD
    ZIP 21001
  • Facility Phone: 443 530-3182
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOY UWANDU
  • NPI Number: 1275125056
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2184040
LAB Type Physician Office
Facility Name PROGRESSIVE MULTI MEDICAL SERVICES INC
Street 200 N PHILADELPHIA BLVD #A
City ABERDEEN
State MD
ZIP 21001
Phone 443 530-3182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director JOY UWANDU

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This page was last updated on: 6/4/2025