21D2328966 CLIA NUMBER - MITCHELL FAMILY DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 21D2328966
  • Facility Name: MITCHELL FAMILY DERMATOLOGY LLC
  • Facility Address: 11236 ROBINWOOD DR #102
    HAGERSTOWN, MD
    ZIP 21742
  • Facility Phone: 301 936-3376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MEGHAN W. MITCHELL
  • NPI Number: 1144112574
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D2328966
LAB Type Physician Office
Facility Name MITCHELL FAMILY DERMATOLOGY LLC
Street 11236 ROBINWOOD DR #102
City HAGERSTOWN
State MD
ZIP 21742
Phone 301 936-3376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director DR. MEGHAN W. MITCHELL

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