21D2120937 CLIA NUMBER - SDM-1 STOP PRIMARY & URGENT CARE

Laboratory Demographics

  • CLIA Code: 21D2120937
  • Facility Name: SDM-1 STOP PRIMARY & URGENT CARE
  • Facility Address: 6401 NEW HAMPSHIRE AVE, SUITE 100
    HYATTSVILLE, MD
    ZIP 20783
  • Facility Phone: (240) 383-8705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURE NDEUTCHOUA
  • NPI Number: 1316397177
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2120937
LAB Type Physician Office
Facility Name SDM-1 STOP PRIMARY & URGENT CARE
Street 6401 NEW HAMPSHIRE AVE, SUITE 100
City HYATTSVILLE
State MD
ZIP 20783
Phone 2403838705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director LAURE NDEUTCHOUA

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This page was last updated on: 5/18/2026