21D1076951 CLIA NUMBER - MINUTE CLINIC LLC #6765

Laboratory Demographics

  • CLIA Code: 21D1076951
  • Facility Name: MINUTE CLINIC LLC #6765
  • Facility Address: 2003 DAVIDSONVILLE ROAD
    CROFTON, MD
    ZIP 21114
  • Facility Phone: 401 770-6453
  • Facility Type: Other - LIM SVC HLTH CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: MINOKA MCPHERSON
  • NPI Number: 1134930498
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D1076951
LAB Type Other - LIM SVC HLTH CARE CLINIC
Facility Name MINUTE CLINIC LLC #6765
Street 2003 DAVIDSONVILLE ROAD
City CROFTON
State MD
ZIP 21114
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 11/28/2023
Certificate Expiration Date 11/27/2025
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