21D1037669 CLIA NUMBER - CONCENTRA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 21D1037669
  • Facility Name: CONCENTRA MEDICAL CENTERS
  • Facility Address: 10452 BALTIMORE AVENUE
    BELTSVILLE, MD
    ZIP 20705
  • Facility Phone: 301 441-3355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TESSIE G. AIKARA
  • NPI Number: 1336698638
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1037669
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS
Street 10452 BALTIMORE AVENUE
City BELTSVILLE
State MD
ZIP 20705
Phone 301 441-3355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director DR. TESSIE G. AIKARA

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