21D2269248 CLIA NUMBER - PALMETTO CORNER LLC

Laboratory Demographics

  • CLIA Code: 21D2269248
  • Facility Name: PALMETTO CORNER LLC
  • Facility Address: 7888 PARSONSBURG RD
    PARSONSBURG, MD
    ZIP 21849
  • Facility Phone: 410 881-5200
  • Facility Type: Other - RESIDENTIAL SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL L. BEAVERS
  • NPI Number: 1922639558
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2269248
LAB Type Other - RESIDENTIAL SUD TREATMENT
Facility Name PALMETTO CORNER LLC
Street 7888 PARSONSBURG RD
City PARSONSBURG
State MD
ZIP 21849
Phone 410 881-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Other - RESIDENTIAL SUD TREATMENT
Lab Director DR. MICHAEL L. BEAVERS

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