21D0924291 CLIA NUMBER - GREENBELT ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 21D0924291
  • Facility Name: GREENBELT ENDOSCOPY CENTER
  • Facility Address: 9821 GREENBELT ROAD SUITE 103
    LANHAM, MD
    ZIP 20706
  • Facility Phone: 301 552-1801
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GHULAM MOHI-UD-DIN MD
  • NPI Number: 1538116439
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0924291
LAB Type Ambulatory Surgery Center
Facility Name GREENBELT ENDOSCOPY CENTER
Street 9821 GREENBELT ROAD SUITE 103
City LANHAM
State MD
ZIP 20706
Phone 301 552-1801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GHULAM MOHI-UD-DIN MD

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