21D2004671 CLIA NUMBER - ADVANCED MEDICAL CARE, LLC

Laboratory Demographics

  • CLIA Code: 21D2004671
  • Facility Name: ADVANCED MEDICAL CARE, LLC
  • Facility Address: 19703 EXECUTIVE PARK CIRCLE
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 301 540-9447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PIYUSH K. PATEL
  • NPI Number: 1730398538
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2004671
LAB Type Physician Office
Facility Name ADVANCED MEDICAL CARE, LLC
Street 19703 EXECUTIVE PARK CIRCLE
City GERMANTOWN
State MD
ZIP 20874
Phone 301 540-9447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director PIYUSH K. PATEL

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