21D1063633 CLIA NUMBER - CATHERINE FOUNDATION PREGNANCY CARE CENTER

Laboratory Demographics

  • CLIA Code: 21D1063633
  • Facility Name: CATHERINE FOUNDATION PREGNANCY CARE CENTER
  • Facility Address: 3065 OLD WASHINGTON ROAD
    WALDORF, MD
    ZIP 20601
  • Facility Phone: 301 932-8811
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NELSON A. ALAWODE
  • NPI Number: 1942424825
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 21D1063633
LAB Type Community Clinic
Facility Name CATHERINE FOUNDATION PREGNANCY CARE CENTER
Street 3065 OLD WASHINGTON ROAD
City WALDORF
State MD
ZIP 20601
Phone 301 932-8811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Community Clinic
Lab Director NELSON A. ALAWODE

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