21D2281133 CLIA NUMBER - CENTER FOR VASCULAR MEDICINE

Laboratory Demographics

CLIA Number: 21D2281133

Facility Name: CENTER FOR VASCULAR MEDICINE

Facility Address:
108 FORBES ST 2ND FLR
ANNAPOLIS, MD
ZIP 21401
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Facility Phone Number: 301 982-2000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386935781

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	21D2281133
LAB Type	Physician Office
Facility Name	CENTER FOR VASCULAR MEDICINE
Street	108 FORBES ST 2ND FLR
City	ANNAPOLIS
State	MD
ZIP	21401
Phone	301 982-2000
CertificateType	4
CertificateEffectiveDate	5/2/2023
CertificateExpirationDate	5/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024