21D0955129 CLIA NUMBER - WALDORF MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 21D0955129
  • Facility Name: WALDORF MEDICAL CLINIC
  • Facility Address: 601 POST OFFICE ROAD #2C
    WALDORF, MD
    ZIP 20602
  • Facility Phone: 301 396-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ZAFAR A. ANSARI
  • NPI Number: 1245670306
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 21D0955129
LAB Type Physician Office
Facility Name WALDORF MEDICAL CLINIC
Street 601 POST OFFICE ROAD #2C
City WALDORF
State MD
ZIP 20602
Phone 301 396-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director DR. ZAFAR A. ANSARI

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