21D0940593 CLIA NUMBER - SANJIV SOOD MD

Laboratory Demographics

  • CLIA Code: 21D0940593
  • Facility Name: SANJIV SOOD MD
  • Facility Address: 3060 MITCHELLVILLE ROAD #102
    BOWIE, MD
    ZIP 20716
  • Facility Phone: 301 249-8440
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL S. BALLO
  • NPI Number: 1154368298
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0940593
LAB Type Physician Office
Facility Name SANJIV SOOD MD
Street 3060 MITCHELLVILLE ROAD #102
City BOWIE
State MD
ZIP 20716
Phone 301 249-8440
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director MICHAEL S. BALLO

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