21D2314955 CLIA NUMBER - ATLANTIC GENERAL HEALTH SYSTEM WOMENS HEALTH GFMC

Laboratory Demographics

  • CLIA Code: 21D2314955
  • Facility Name: ATLANTIC GENERAL HEALTH SYSTEM WOMENS HEALTH GFMC
  • Facility Address: 10614 RACETRACK RD
    BERLIN, MD
    ZIP 21811
  • Facility Phone: 410 641-9362
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELLE FARLOW
  • NPI Number: 1467512467
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2314955
LAB Type Physician Office
Facility Name ATLANTIC GENERAL HEALTH SYSTEM WOMENS HEALTH GFMC
Street 10614 RACETRACK RD
City BERLIN
State MD
ZIP 21811
Phone 410 641-9362
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director MICHELLE FARLOW

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