21D2059928 CLIA NUMBER - COMPREHENSIVE WOMEN'S HEALTH

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Laboratory Demographics

CLIA Number: 21D2059928

Facility Name: COMPREHENSIVE WOMEN'S HEALTH

Facility Address:
12150 ANNAPOLIS ROAD STE 309
GLENN DALE, MD
ZIP 20769
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Facility Phone Number: 301 754-2222

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568838688

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2059928
LAB Type	Physician Office
Facility Name	COMPREHENSIVE WOMEN'S HEALTH
Street	12150 ANNAPOLIS ROAD STE 309
City	GLENN DALE
State	MD
ZIP	20769
Phone	301 754-2222
CertificateType	4
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	Waiver

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