21D0211188 CLIA NUMBER - KAISER PERMANENTE LARGO MEDICAL CENTER LAB

Laboratory Demographics

  • CLIA Code: 21D0211188
  • Facility Name: KAISER PERMANENTE LARGO MEDICAL CENTER LAB
  • Facility Address: 1221 MERCANTILE LANE
    LARGO, MD
    ZIP 20774
  • Facility Phone: 301 816-6328
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. EUN Y. OH
  • NPI Number: 1528309366
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 21D0211188
LAB Type Health Main. Organization
Facility Name KAISER PERMANENTE LARGO MEDICAL CENTER LAB
Street 1221 MERCANTILE LANE
City LARGO
State MD
ZIP 20774
Phone 301 816-6328
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Health Main. Organization
Lab Director DR. EUN Y. OH

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