21D0960443 CLIA NUMBER - SUJATA QASBA MD

Laboratory Demographics

  • CLIA Code: 21D0960443
  • Facility Name: SUJATA QASBA MD
  • Facility Address: 3450 FORT MEADE ROAD STE 107
    LAUREL, MD
    ZIP 20724
  • Facility Phone: 301 776-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUJATA QASBA MD
  • NPI Number: 1780682765
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0960443
LAB Type Physician Office
Facility Name SUJATA QASBA MD
Street 3450 FORT MEADE ROAD STE 107
City LAUREL
State MD
ZIP 20724
Phone 301 776-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director SUJATA QASBA MD

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