21D2115945 CLIA NUMBER - SHAHID SHAMIM, MD LLC

Laboratory Demographics

  • CLIA Code: 21D2115945
  • Facility Name: SHAHID SHAMIM, MD LLC
  • Facility Address: 11119 ROCKVILLE PIKE #101
    ROCKVILLE, MD
    ZIP 20852
  • Facility Phone: 301 881-5585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHID SHAMIM
  • NPI Number: 1932208543
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2115945
LAB Type Physician Office
Facility Name SHAHID SHAMIM, MD LLC
Street 11119 ROCKVILLE PIKE #101
City ROCKVILLE
State MD
ZIP 20852
Phone 301 881-5585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director SHAHID SHAMIM

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