21D2180767 CLIA NUMBER - ISSA YUSUF MD

Laboratory Demographics

  • CLIA Code: 21D2180767
  • Facility Name: ISSA YUSUF MD
  • Facility Address: 12150 ANNAPOLIS RD # 300
    GLENN DALE, MD
    ZIP 20769
  • Facility Phone: 301 249-5384
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ISSA YUSUF
  • NPI Number: 1912934571
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2180767
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ISSA YUSUF MD
Street 12150 ANNAPOLIS RD # 300
City GLENN DALE
State MD
ZIP 20769
Phone 301 249-5384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ISSA YUSUF

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