21D2297106 CLIA NUMBER - MOUNTAIN VIEW WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 21D2297106
  • Facility Name: MOUNTAIN VIEW WELLNESS LLC
  • Facility Address: 117 W MAIN STREET
    HANCOCK, MD
    ZIP 21750
  • Facility Phone: 240 738-0953
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMANDA BAULER
  • NPI Number: 1033996673
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2297106
LAB Type Practitioner Other
Facility Name MOUNTAIN VIEW WELLNESS LLC
Street 117 W MAIN STREET
City HANCOCK
State MD
ZIP 21750
Phone 240 738-0953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Practitioner Other
Lab Director AMANDA BAULER

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