21D2123220 CLIA NUMBER - CALAF MD PC

Laboratory Demographics

  • CLIA Code: 21D2123220
  • Facility Name: CALAF MD PC
  • Facility Address: 4467 OLD BRANCH AVE SUITE 203
    TEMPLE HILLS, MD
    ZIP 20748
  • Facility Phone: 301 899-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIMA CALAF
  • NPI Number: 1023438793
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2123220
LAB Type Physician Office
Facility Name CALAF MD PC
Street 4467 OLD BRANCH AVE SUITE 203
City TEMPLE HILLS
State MD
ZIP 20748
Phone 301 899-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director NIMA CALAF

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