21D2199742 CLIA NUMBER - FORT WASHINGTON CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 21D2199742
  • Facility Name: FORT WASHINGTON CHIROPRACTIC CENTER
  • Facility Address: 10903 INDIAN HEAD HWY #506
    FORT WASHINGTON, MD
    ZIP 20744
  • Facility Phone: 301 292-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAHAREH BORHANI
  • NPI Number: 1235230442
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 21D2199742
LAB Type Physician Office
Facility Name FORT WASHINGTON CHIROPRACTIC CENTER
Street 10903 INDIAN HEAD HWY #506
City FORT WASHINGTON
State MD
ZIP 20744
Phone 301 292-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director BAHAREH BORHANI

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