21D0956525 CLIA NUMBER - SMITA P MENGERS MD PA

Laboratory Demographics

  • CLIA Code: 21D0956525
  • Facility Name: SMITA P MENGERS MD PA
  • Facility Address: 19803 EXECUTIVE PARK CIRCLE
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 301 540-7496
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SMITA P. MENGERS MD
  • NPI Number: 1356400873
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0956525
LAB Type Physician Office
Facility Name SMITA P MENGERS MD PA
Street 19803 EXECUTIVE PARK CIRCLE
City GERMANTOWN
State MD
ZIP 20874
Phone 301 540-7496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director SMITA P. MENGERS MD

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