21D0219705 CLIA NUMBER - MATCARE, LLC

Laboratory Demographics

  • CLIA Code: 21D0219705
  • Facility Name: MATCARE, LLC
  • Facility Address: 133 DEFENSE HWY SUITE 111
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 224-2255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA E. ROMERO
  • NPI Number: 1194711820
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0219705
LAB Type Physician Office
Facility Name MATCARE, LLC
Street 133 DEFENSE HWY SUITE 111
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 224-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director MARIA E. ROMERO

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