21D0902141 CLIA NUMBER - ASHVIN J PATEL MD

Laboratory Demographics

  • CLIA Code: 21D0902141
  • Facility Name: ASHVIN J PATEL MD
  • Facility Address: 102 PAUL MELLON COURT STE 102
    WALDORF, MD
    ZIP 20602
  • Facility Phone: 301 645-7414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHVIN J. PATEL
  • NPI Number: 1962409151
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0902141
LAB Type Physician Office
Facility Name ASHVIN J PATEL MD
Street 102 PAUL MELLON COURT STE 102
City WALDORF
State MD
ZIP 20602
Phone 301 645-7414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director ASHVIN J. PATEL

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