21D0726265 CLIA NUMBER - MED-SURG CARE

Laboratory Demographics

  • CLIA Code: 21D0726265
  • Facility Name: MED-SURG CARE
  • Facility Address: 6620 CRAIN HIGHWAY SUITE 104
    LAPLATA, MD
    ZIP 20646
  • Facility Phone: 301 934-2299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHASSAN K. HATOUM
  • NPI Number: 1568507945
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 21D0726265
LAB Type Physician Office
Facility Name MED-SURG CARE
Street 6620 CRAIN HIGHWAY SUITE 104
City LAPLATA
State MD
ZIP 20646
Phone 301 934-2299
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 GHASSAN K. HATOUM

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