21D2023466 CLIA NUMBER - MEDSTAR HEALTH CENTER-CHEVY CHASE

Laboratory Demographics

  • CLIA Code: 21D2023466
  • Facility Name: MEDSTAR HEALTH CENTER-CHEVY CHASE
  • Facility Address: 5454 WISCONSIN AVENUE SUITE 1100
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 215-9420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMARA Z. BURNEY
  • NPI Number: 1467520601
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2023466
LAB Type Physician Office
Facility Name MEDSTAR HEALTH CENTER-CHEVY CHASE
Street 5454 WISCONSIN AVENUE SUITE 1100
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 215-9420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director DR. AMARA Z. BURNEY

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