21D0950366 CLIA NUMBER - MAHESH MOONDRA MD

Laboratory Demographics

  • CLIA Code: 21D0950366
  • Facility Name: MAHESH MOONDRA MD
  • Facility Address: 106 MILFORD STREET SUITE 504B
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 546-5954
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHESH MOONDRA MD
  • NPI Number: 1912932237
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0950366
LAB Type Physician Office
Facility Name MAHESH MOONDRA MD
Street 106 MILFORD STREET SUITE 504B
City SALISBURY
State MD
ZIP 21804
Phone 410 546-5954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director MAHESH MOONDRA MD

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