21D2057332 CLIA NUMBER - MOBILE MEDICAL CARE, INC

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Laboratory Demographics

CLIA Number: 21D2057332

Facility Name: MOBILE MEDICAL CARE, INC

Facility Address:
981 ROLLINS AVENUE
ROCKVILLE, MD
ZIP 20850
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Facility Phone Number: 301 841-0833

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1285016477

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2057332
LAB Type	Community Clinic
Facility Name	MOBILE MEDICAL CARE, INC
Street	981 ROLLINS AVENUE
City	ROCKVILLE
State	MD
ZIP	20850
Phone	301 841-0833
CertificateType	4
CertificateEffectiveDate	4/15/2023
CertificateExpirationDate	4/14/2025
FacilityType	Waiver

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