21D2305690 CLIA NUMBER - MORRELL ADVANCED PRACTICE

Laboratory Demographics

  • CLIA Code: 21D2305690
  • Facility Name: MORRELL ADVANCED PRACTICE
  • Facility Address: 326 EAST MAIN STREET
    HANCOCK, MD
    ZIP 21750
  • Facility Phone: 304 393-5094
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAITLYN MORRELL
  • NPI Number: 1306508189
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2305690
LAB Type Physician Office
Facility Name MORRELL ADVANCED PRACTICE
Street 326 EAST MAIN STREET
City HANCOCK
State MD
ZIP 21750
Phone 304 393-5094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director CAITLYN MORRELL

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