21D2319570 CLIA NUMBER - WELL MEDICAL CENTER PC

Laboratory Demographics

  • CLIA Code: 21D2319570
  • Facility Name: WELL MEDICAL CENTER PC
  • Facility Address: 7600 OSLER DR #113
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 800 704-1947
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RUSHIA L. BUTLER
  • NPI Number: 1497528632
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2319570
LAB Type Physician Office
Facility Name WELL MEDICAL CENTER PC
Street 7600 OSLER DR #113
City TOWSON
State MD
ZIP 21204
Phone 800 704-1947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director DR. RUSHIA L. BUTLER

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