21D1004034 CLIA NUMBER - NASREEN KANGO MD

Laboratory Demographics

  • CLIA Code: 21D1004034
  • Facility Name: NASREEN KANGO MD
  • Facility Address: 7701 CARROLL AVE
    TAKOMA PARK, MD
    ZIP 20912
  • Facility Phone: 301 922-3029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASREEN M. KANGO MD
  • NPI Number: 1154355345
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1004034
LAB Type Physician Office
Facility Name NASREEN KANGO MD
Street 7701 CARROLL AVE
City TAKOMA PARK
State MD
ZIP 20912
Phone 301 922-3029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director NASREEN M. KANGO MD

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