21D2122506 CLIA NUMBER - MAJOR MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 21D2122506
  • Facility Name: MAJOR MEDICAL LLC
  • Facility Address: 9135 PISCATAWAY RD #102
    CLINTON, MD
    ZIP 20735
  • Facility Phone: 301 585-1833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK MAJOR
  • NPI Number: 1093039570
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2122506
LAB Type Physician Office
Facility Name MAJOR MEDICAL LLC
Street 9135 PISCATAWAY RD #102
City CLINTON
State MD
ZIP 20735
Phone 301 585-1833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director MARK MAJOR

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This page was last updated on: 6/4/2025