21D1040406 CLIA NUMBER - HOLY CROSS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 21D1040406
  • Facility Name: HOLY CROSS HEALTH CENTER
  • Facility Address: 11721 WOODMORE ROAD STE 190
    MITCHELLVILLE, MD
    ZIP 20721
  • Facility Phone: 301 754-7321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SEYED S. SALEHI
  • NPI Number: 1235510736
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1040406
LAB Type Physician Office
Facility Name HOLY CROSS HEALTH CENTER
Street 11721 WOODMORE ROAD STE 190
City MITCHELLVILLE
State MD
ZIP 20721
Phone 301 754-7321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director DR. SEYED S. SALEHI

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