21D1044480 CLIA NUMBER - MINUTECLINIC LLC (CLINIC #01449)

Laboratory Demographics

  • CLIA Code: 21D1044480
  • Facility Name: MINUTECLINIC LLC (CLINIC #01449)
  • Facility Address: 7955 TUCKERMAN LANE
    ROCKVILLE, MD
    ZIP 20854
  • Facility Phone: 866 389-2727
  • Facility Type: Other - LIM SVC HLTH CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: SARAH KIESLING
  • NPI Number: 1134191836
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D1044480
LAB Type Other - LIM SVC HLTH CARE CLINIC
Facility Name MINUTECLINIC LLC (CLINIC #01449)
Street 7955 TUCKERMAN LANE
City ROCKVILLE
State MD
ZIP 20854
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Other - LIM SVC HLTH CARE CLINIC
Lab Director SARAH KIESLING

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