21D2206074 CLIA NUMBER - HEALTH PARTNERS

Laboratory Demographics

  • CLIA Code: 21D2206074
  • Facility Name: HEALTH PARTNERS
  • Facility Address: 4375 PORT TOBACCO ROAD
    NANJEMOY, MD
    ZIP 20662
  • Facility Phone: 301 645-3556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MEINDERT SMITH
  • NPI Number: 1063958627
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2206074
LAB Type Physician Office
Facility Name HEALTH PARTNERS
Street 4375 PORT TOBACCO ROAD
City NANJEMOY
State MD
ZIP 20662
Phone 301 645-3556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director DR. MEINDERT SMITH

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