21D2173272 CLIA NUMBER - ICARE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 21D2173272
  • Facility Name: ICARE HEALTH SERVICES
  • Facility Address: 14502 GREENVIEW DR STE 108
    LAUREL, MD
    ZIP 20708
  • Facility Phone: 301 802-5927
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EBERECHUKWU NWAOGU
  • NPI Number: 1225522618
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2173272
LAB Type Physician Office
Facility Name ICARE HEALTH SERVICES
Street 14502 GREENVIEW DR STE 108
City LAUREL
State MD
ZIP 20708
Phone 301 802-5927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Physician Office
Lab Director EBERECHUKWU NWAOGU

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