21D2010288 CLIA NUMBER - DR RITU CHITAKKI MD LLC

Laboratory Demographics

  • CLIA Code: 21D2010288
  • Facility Name: DR RITU CHITAKKI MD LLC
  • Facility Address: 3450 FORT MEADE ROAD, SUITE 207
    LAUREL, MD
    ZIP 20724
  • Facility Phone: 301 490-3088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RITU CHITAKKI
  • NPI Number: 1447569579
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2010288
LAB Type Physician Office
Facility Name DR RITU CHITAKKI MD LLC
Street 3450 FORT MEADE ROAD, SUITE 207
City LAUREL
State MD
ZIP 20724
Phone 301 490-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director DR. RITU CHITAKKI

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