21D2104055 CLIA NUMBER - MELVIN STERN, MD PRIVIA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 21D2104055
  • Facility Name: MELVIN STERN, MD PRIVIA MEDICAL GROUP
  • Facility Address: 6685 MINK HALLOW ROAD
    HIGHLAND, MD
    ZIP 20777
  • Facility Phone: 301 854-3444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELVIN D. STERN
  • NPI Number: 1124042254
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2104055
LAB Type Physician Office
Facility Name MELVIN STERN, MD PRIVIA MEDICAL GROUP
Street 6685 MINK HALLOW ROAD
City HIGHLAND
State MD
ZIP 20777
Phone 301 854-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director MELVIN D. STERN

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