21D2156436 CLIA NUMBER - MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC

Laboratory Demographics

  • CLIA Code: 21D2156436
  • Facility Name: MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC
  • Facility Address: 344 UNIVERSITY BLVD WEST
    SILVER SPRING, MD
    ZIP 20901
  • Facility Phone: 202 420-7125
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: KRISTINA E. ANDERSSON
  • NPI Number: 1750633855
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2156436
LAB Type Federally Qualified Health Center
Facility Name MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC
Street 344 UNIVERSITY BLVD WEST
City SILVER SPRING
State MD
ZIP 20901
Phone 202 420-7125
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Federally Qualified Health Center
Lab Director KRISTINA E. ANDERSSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025