21D1102947 CLIA NUMBER - HARRIS AND COMPANY LLC

Laboratory Demographics

  • CLIA Code: 21D1102947
  • Facility Name: HARRIS AND COMPANY LLC
  • Facility Address: 4723 JOHN STREET
    SUITLAND, MD
    ZIP 20746
  • Facility Phone: 301 637-2116
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CALVIN J. WILSON
  • NPI Number: 1720228992
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D1102947
LAB Type Community Clinic
Facility Name HARRIS AND COMPANY LLC
Street 4723 JOHN STREET
City SUITLAND
State MD
ZIP 20746
Phone 301 637-2116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Community Clinic
Lab Director CALVIN J. WILSON

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