21D0929760 CLIA NUMBER - CHESAPEAKE & WASHINGTON HEARTCARE

Laboratory Demographics

  • CLIA Code: 21D0929760
  • Facility Name: CHESAPEAKE & WASHINGTON HEARTCARE
  • Facility Address: 12070 OLD LINE CENTRE STE 303
    WALDORF, MD
    ZIP 20602
  • Facility Phone: 301 645-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERENCE E. BERTELE MD
  • NPI Number: 1669585113
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0929760
LAB Type Physician Office
Facility Name CHESAPEAKE & WASHINGTON HEARTCARE
Street 12070 OLD LINE CENTRE STE 303
City WALDORF
State MD
ZIP 20602
Phone 301 645-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director TERENCE E. BERTELE MD

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