21D0210948 CLIA NUMBER - WILLS MEDICAL GROUP, PC JOHN H. WILLS, M.D.

Laboratory Demographics

  • CLIA Code: 21D0210948
  • Facility Name: WILLS MEDICAL GROUP, PC JOHN H. WILLS, M.D.
  • Facility Address: 14310 OLD MARLBORO PKE
    UPPER MARLBORO, MD
    ZIP 20772
  • Facility Phone: 301 627-1448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN H. WILLS
  • NPI Number: 1053681460
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0210948
LAB Type Physician Office
Facility Name WILLS MEDICAL GROUP, PC JOHN H. WILLS, M.D.
Street 14310 OLD MARLBORO PKE
City UPPER MARLBORO
State MD
ZIP 20772
Phone 301 627-1448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN H. WILLS

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