21D2009458 CLIA NUMBER - CONCENTRA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 21D2009458
  • Facility Name: CONCENTRA MEDICAL CENTERS
  • Facility Address: 9141 ALAKING CT #112
    CAPITOL HEIGHTS, MD
    ZIP 20743
  • Facility Phone: 301 499-4655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SEAN P. DUFFY
  • NPI Number: 1831415983
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2009458
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS
Street 9141 ALAKING CT #112
City CAPITOL HEIGHTS
State MD
ZIP 20743
Phone 301 499-4655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Physician Office
Lab Director DR. SEAN P. DUFFY

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