21D2221192 CLIA NUMBER - ABS CLINICAL SERVICES

Laboratory Demographics

  • CLIA Code: 21D2221192
  • Facility Name: ABS CLINICAL SERVICES
  • Facility Address: 5632 ANNAPOLIS RD #11
    BLADENSBURG, MD
    ZIP 20710
  • Facility Phone: 240 486-7097
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KHUDSIATU TUCKER
  • NPI Number: 1255916144
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2221192
LAB Type Practitioner Other
Facility Name ABS CLINICAL SERVICES
Street 5632 ANNAPOLIS RD #11
City BLADENSBURG
State MD
ZIP 20710
Phone 240 486-7097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Practitioner Other
Lab Director KHUDSIATU TUCKER

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