21D0672038 CLIA NUMBER - MEZGEBE HAILE M D

Laboratory Demographics

  • CLIA Code: 21D0672038
  • Facility Name: MEZGEBE HAILE M D
  • Facility Address: 7525 GREENWAY CENTER DR T5
    GREENBELT, MD
    ZIP 20770
  • Facility Phone: 301 345-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEZGEBE HAILE MD
  • NPI Number: 1497756357
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0672038
LAB Type Physician Office
Facility Name MEZGEBE HAILE M D
Street 7525 GREENWAY CENTER DR T5
City GREENBELT
State MD
ZIP 20770
Phone 301 345-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director MEZGEBE HAILE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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