21D1029168 CLIA NUMBER - MINUTE CLINIC LLC #2775

Laboratory Demographics

  • CLIA Code: 21D1029168
  • Facility Name: MINUTE CLINIC LLC #2775
  • Facility Address: 2601 RIVA ROAD
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 401 770-6453
  • Facility Type: Other - LIM SVC HLTH CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: MINOKA MCPHERSON
  • NPI Number: 1477364669
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D1029168
LAB Type Other - LIM SVC HLTH CARE CLINIC
Facility Name MINUTE CLINIC LLC #2775
Street 2601 RIVA ROAD
City ANNAPOLIS
State MD
ZIP 21401
Phone 401 770-6453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Other - LIM SVC HLTH CARE CLINIC
Lab Director MINOKA MCPHERSON

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