21D2084959 CLIA NUMBER - METRO DIRECT CARE MEDICAL, LLC

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Laboratory Demographics

CLIA Number: 21D2084959

Facility Name: METRO DIRECT CARE MEDICAL, LLC

Facility Address:
2 WISCONSIN CIRCLE SUITE 700
CHEVY CHASE, MD
ZIP 20815
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Facility Phone Number: 202 368-6820

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1295078046

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	21D2084959
LAB Type	Practitioner Other
Facility Name	METRO DIRECT CARE MEDICAL, LLC
Street	2 WISCONSIN CIRCLE SUITE 700
City	CHEVY CHASE
State	MD
ZIP	20815
Phone	202 368-6820
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

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