21D2140530 CLIA NUMBER - LUMINIS HEALTH PRIMARY CARE MITCHELLVILLE RD

Laboratory Demographics

  • CLIA Code: 21D2140530
  • Facility Name: LUMINIS HEALTH PRIMARY CARE MITCHELLVILLE RD
  • Facility Address: 4000 MITCHELLEVILLE ROAD SUITE B216
    BOWIE, MD
    ZIP 20716
  • Facility Phone: 301 262-0020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW MCGLONE
  • NPI Number: 1528333069
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 21D2140530
LAB Type Physician Office
Facility Name LUMINIS HEALTH PRIMARY CARE MITCHELLVILLE RD
Street 4000 MITCHELLEVILLE ROAD SUITE B216
City BOWIE
State MD
ZIP 20716
Phone 301 262-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director ANDREW MCGLONE

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