21D0724517 CLIA NUMBER - COMPLETE CARE AT WHEATON

Laboratory Demographics

  • CLIA Code: 21D0724517
  • Facility Name: COMPLETE CARE AT WHEATON
  • Facility Address: 4011 RANDOLPH RD
    WHEATON, MD
    ZIP 20902
  • Facility Phone: 301 933-2500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Microscopy
  • Lab Director: DR. KAMAL SEWARALTHAHAB
  • NPI Number: 1912612896
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0724517
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COMPLETE CARE AT WHEATON
Street 4011 RANDOLPH RD
City WHEATON
State MD
ZIP 20902
Phone 301 933-2500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. KAMAL SEWARALTHAHAB

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