21D2211167 CLIA NUMBER - FAITHFIRST HEALTH CLINIC AND URGENT CARE

Laboratory Demographics

CLIA Number: 21D2211167

Facility Name: FAITHFIRST HEALTH CLINIC AND URGENT CARE

Facility Address:
4302 ST BARNABAS RD
TEMPLE HILLS, MD
ZIP 20748
Get Directions

Facility Phone Number: 240 619-5620

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619648136

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	21D2211167
LAB Type	Physician Office
Facility Name	FAITHFIRST HEALTH CLINIC AND URGENT CARE
Street	4302 ST BARNABAS RD
City	TEMPLE HILLS
State	MD
ZIP	20748
Phone	240 619-5620
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024