21D2250563 CLIA NUMBER - WELLCARE

Laboratory Demographics

  • CLIA Code: 21D2250563
  • Facility Name: WELLCARE
  • Facility Address: 1226 NATIONAL HIGHWAY
    CUMBERLAND, MD
    ZIP 21502
  • Facility Phone: 814 585-2770
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KATIE A. WINNER
  • NPI Number: 1912667734
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2250563
LAB Type Community Clinic
Facility Name WELLCARE
Street 1226 NATIONAL HIGHWAY
City CUMBERLAND
State MD
ZIP 21502
Phone 814 585-2770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Community Clinic
Lab Director KATIE A. WINNER

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