21D2176606 CLIA NUMBER - HEAD2TOE HEALTH LLC

Laboratory Demographics

  • CLIA Code: 21D2176606
  • Facility Name: HEAD2TOE HEALTH LLC
  • Facility Address: 4938 ST ELMO AVENUE
    BETHESDA, MD
    ZIP 20814
  • Facility Phone: 301 337-8610
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEIRDRE F. ANGELASTRO
  • NPI Number: 1235609074
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2176606
LAB Type Practitioner Other
Facility Name HEAD2TOE HEALTH LLC
Street 4938 ST ELMO AVENUE
City BETHESDA
State MD
ZIP 20814
Phone 301 337-8610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Practitioner Other
Lab Director DEIRDRE F. ANGELASTRO

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