21D2129494 CLIA NUMBER - SHAHID MAHMOOD MD FAMILY PRACTICE PA

Laboratory Demographics

  • CLIA Code: 21D2129494
  • Facility Name: SHAHID MAHMOOD MD FAMILY PRACTICE PA
  • Facility Address: 1124 OPAL COURT
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 301 733-4496
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHID MAHMOOD
  • NPI Number: 1982701611
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2129494
LAB Type Physician Office
Facility Name SHAHID MAHMOOD MD FAMILY PRACTICE PA
Street 1124 OPAL COURT
City HAGERSTOWN
State MD
ZIP 21740
Phone 301 733-4496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director SHAHID MAHMOOD

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