21D2170635 CLIA NUMBER - MID-ATLANTIC GI RESEARCH

Laboratory Demographics

  • CLIA Code: 21D2170635
  • Facility Name: MID-ATLANTIC GI RESEARCH
  • Facility Address: 7501 GREENWAY CENTER SUITE 470
    GREENBELT, MD
    ZIP 20770
  • Facility Phone: 615 502-4310
  • Facility Type: Other - CLINICAL RESEARCH
  • Facility Type: Waiver
  • Lab Director: RAJA M. MOHI-UD-DIN
  • NPI Number: 1316058498
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 21D2170635
LAB Type Other - CLINICAL RESEARCH
Facility Name MID-ATLANTIC GI RESEARCH
Street 7501 GREENWAY CENTER SUITE 470
City GREENBELT
State MD
ZIP 20770
Phone 615 502-4310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2023
Certificate Expiration Date 8/14/2025
Facility Type Other - CLINICAL RESEARCH
Lab Director RAJA M. MOHI-UD-DIN

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