21D2075425 CLIA NUMBER - NADER A DAKAK, MD

Laboratory Demographics

  • CLIA Code: 21D2075425
  • Facility Name: NADER A DAKAK, MD
  • Facility Address: 12150 ANNAPOLIS ROAD SUITE 105
    GLENN DALE, MD
    ZIP 20769
  • Facility Phone: 301 805-1250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADER A. DAKAK
  • NPI Number: 1457332652
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2075425
LAB Type Physician Office
Facility Name NADER A DAKAK, MD
Street 12150 ANNAPOLIS ROAD SUITE 105
City GLENN DALE
State MD
ZIP 20769
Phone 301 805-1250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director NADER A. DAKAK

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