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Alpha Clinical Laboratory, LLC

Debarred entity

Alpha Clinical Laboratory, LLC is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Alpha Clinical Laboratory, LLC				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
ID Number	`032532 (PA DOH)` · `PROMISe #102785090`				[sources]
NPI	`1508089418`				[sources]
Registration number	not available				[sources]
Sector	291U00000X				[sources]
Tax Number	`208549688`				[sources]
Address	(MD), (MD)				[sources]
Last change	2024-12-13	Last processed	2024-12-17	First seen	2024-10-01

Address
Full address	Country
(MD), (MD) · - MD, - MD · MD, MD	United States

Sanctions
Authority	Program	Start date	End date
Medicaid	-	2016-10-18	-
Department of Human Services	-	2016-10-18	-

List of providers excluded from participating in the Delaware Medicaid program.

United States · DHSS

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Source data IDs: us-medpa-58791967fa0ab97a0d4bed431dcf052c9ad76cb2 · us-medde-0b0891a6fb88c1d97d40f25bc6d4b8dc700d2c85

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