21D2050914 CLIA NUMBER - FORT MEADE VA CBOC

Laboratory Demographics

  • CLIA Code: 21D2050914
  • Facility Name: FORT MEADE VA CBOC
  • Facility Address: 2479 FIFTH STREET
    FORT MEADE, MD
    ZIP 20755
  • Facility Phone: 410 305-5300
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: GLADYS ALONSOZANA
  • NPI Number: 1811236060
  • Taxonomy: 261QV0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2050914
LAB Type Community Clinic
Facility Name FORT MEADE VA CBOC
Street 2479 FIFTH STREET
City FORT MEADE
State MD
ZIP 20755
Phone 410 305-5300
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/10/2012
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director GLADYS ALONSOZANA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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