21D2230631 CLIA NUMBER - LEONARDTOWN CHIROPRACTIC & PHYSICAL THERAPY INC

Laboratory Demographics

  • CLIA Code: 21D2230631
  • Facility Name: LEONARDTOWN CHIROPRACTIC & PHYSICAL THERAPY INC
  • Facility Address: 40900 MERCHANTS LANE #101
    LEONARDTOWN, MD
    ZIP 20650
  • Facility Phone: 301 475-7165
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN H. HOOT II
  • NPI Number: 1740870120
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 21D2230631
LAB Type Practitioner Other
Facility Name LEONARDTOWN CHIROPRACTIC & PHYSICAL THERAPY INC
Street 40900 MERCHANTS LANE #101
City LEONARDTOWN
State MD
ZIP 20650
Phone 301 475-7165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Practitioner Other
Lab Director JOHN H. HOOT II

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