21D2051023 CLIA NUMBER - UNIVERSITY MEDICAL CARE

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Laboratory Demographics

CLIA Number: 21D2051023

Facility Name: UNIVERSITY MEDICAL CARE

Facility Address:
11303 AMHERST AVENUE STE 2
SILVER SPRING, MD
ZIP 20902
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Facility Phone Number: 240 833-8014

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689926867

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2051023
LAB Type	Physician Office
Facility Name	UNIVERSITY MEDICAL CARE
Street	11303 AMHERST AVENUE STE 2
City	SILVER SPRING
State	MD
ZIP	20902
Phone	240 833-8014
CertificateType	4
CertificateEffectiveDate	12/11/2022
CertificateExpirationDate	12/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024