21D2074336 CLIA NUMBER - FARHAD NASEH MDPA

Laboratory Demographics

  • CLIA Code: 21D2074336
  • Facility Name: FARHAD NASEH MDPA
  • Facility Address: 6 MONTGOMERY VILLAGE AVENUE SUITE 103
    GAITHERSBURG, MD
    ZIP 20879
  • Facility Phone: 301 840-2208
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARHAD NASEH
  • NPI Number: 1710176763
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D2074336
LAB Type Physician Office
Facility Name FARHAD NASEH MDPA
Street 6 MONTGOMERY VILLAGE AVENUE SUITE 103
City GAITHERSBURG
State MD
ZIP 20879
Phone 301 840-2208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director FARHAD NASEH

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