21D2314292 CLIA NUMBER - ALLIANCE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 21D2314292
  • Facility Name: ALLIANCE PRIMARY CARE
  • Facility Address: 1 KINGS DRIVE
    TANEYTOWN, MD
    ZIP 21787
  • Facility Phone: 443 937-6258
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICKY BAUGHER
  • NPI Number: 1184105298
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2314292
LAB Type Physician Office
Facility Name ALLIANCE PRIMARY CARE
Street 1 KINGS DRIVE
City TANEYTOWN
State MD
ZIP 21787
Phone 443 937-6258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director VICKY BAUGHER

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