21D1004033 CLIA NUMBER - ULNACS MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 21D1004033
  • Facility Name: ULNACS MEDICAL CARE PC
  • Facility Address: 3331 TOLEDO TERRACE #108
    HYATTSVILLE, MD
    ZIP 20782
  • Facility Phone: 301 408-4111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GODSWILL O. OKOJI
  • NPI Number: 1053365221
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1004033
LAB Type Physician Office
Facility Name ULNACS MEDICAL CARE PC
Street 3331 TOLEDO TERRACE #108
City HYATTSVILLE
State MD
ZIP 20782
Phone 301 408-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. GODSWILL O. OKOJI

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This page was last updated on: 3/20/2025