21D2118811 CLIA NUMBER - MERIDIAN MEDICAL ASSOCIATES, LLC

Laboratory Demographics

CLIA Number: 21D2118811

Facility Name: MERIDIAN MEDICAL ASSOCIATES, LLC

Facility Address:
5620 SAINT BARNABAS SUITE 360
OXON HILL, MD
ZIP 20745
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Facility Phone Number: 240 766-4552

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104289297

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2118811
LAB Type	Physician Office
Facility Name	MERIDIAN MEDICAL ASSOCIATES, LLC
Street	5620 SAINT BARNABAS SUITE 360
City	OXON HILL
State	MD
ZIP	20745
Phone	240 766-4552
CertificateType	4
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	Waiver

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